SearchWashington2355S0801X

Diana Root, S.L.P.A

NPI 1215375118 · on the registry since 2013

Practice

Address
211 Rainier Ave N.
Eatonville, WA 98328
Phone
(360) 879-1800
Fax
(360) 879-1812

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington