JARED SCOTT DETROLIO

MOSES LAKE, WA
NPI1982170122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  CG60867653)
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
JARED SCOTT DETROLIO
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
Mailing Address
JARED SCOTT DETROLIO
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239