Individual
HUMBERTO EMILIO GONZALEZ-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25507 75TH AVE SW, VASHON, WA 98070-7937
(425) 351-2533
Mailing address
VYFS - 20110 VASHON HWY SW, VASHON, WA 98070
(206) 463-5511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC61124285
WA
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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