Vita Margarite Lusty

NPI #1528835865 in Olympia, Washington

Provider Information

NPI Number
1528835865
Entity Type
Individual
Name
Vita Margarite Lusty
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Dec 6, 2023
Last Updated
Dec 6, 2023

Practice Location

Address
3443 LILLY RD NE
ZIP Code
98506-3091
Phone
(310) 951-5621

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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