ANSELMO QUEZADA

MOSES LAKE, WA
NPI1750325270
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  RC00054017)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
ANSELMO QUEZADA MS
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
Mailing Address
ANSELMO QUEZADA MS
9814 HIGHLAND DR NE
MOSES LAKE, WA 98837-3451
Phone number: 509-765-9239
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