ANSELMO QUEZADA

MOSES LAKE, WA
NPI1750325270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
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