Traci Anne Matsumura COTA/L

NPI 1245491778 - Community Health Worker - 172V00000X

NPI Details
NPI 1245491778
Gender Female
Enumeration Date 06/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
308 W EMMA ST
UNION GAP WA, 98903-1940, US
Phone (509) 248-1985
Fax (509) 248-4881
Business Location
308 W EMMA ST
UNION GAP WA, 98903-1940, US
Phone (509) 248-1985
Fax (509) 248-4881
Toxanomy
Taxonomy Code 172V00000X
License State Washington
License Number OC00000838
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According to our database, Mrs. Traci Anne Matsumura COTA/L NPI is 1245491778, taxonomy code is 172V00000X and license number is OC00000838, license state is located at Washington. Traci Anne Matsumura COTA/L physically located at 308 W Emma St, Union Gap WA, 98903-1940. NPI Number Traci Anne Matsumura COTA/L has the Individual type.

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1245491778 NPI number is provided on an as is basis without warranty of any kind. 1245491778 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Anne Matsumura COTA/L are for informational purposes only.