Individual
DARREN CUEVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 426-2653
Mailing address
PO BOX 1668, SHELTON, WA 98584-5001
(360) 427-9549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60804539
WA
Other
Enumeration date
05/20/2015
Last updated
02/03/2021
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