MRS. Marcelina Macandog
NPI #1518392984 in Spanaway, Washington
Provider Information
- NPI Number
- 1518392984
- Entity Type
- Individual
- Name
- MRS. Marcelina Macandog
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Sep 4, 2013
- Last Updated
- Sep 4, 2013
Practice Location
- Address
- 1102 186TH STREET CT E
- City
- Spanaway
- State
- Washington
- ZIP Code
- 98387-8530
- Phone
- (253) 271-7145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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