Individual
TERRANCE SWEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4720 PACIFIC AVE, VANCOUVER, WA 98663-1821
(360) 936-7382
Mailing address
4720 PACIFIC AVE, VANCOUVER, WA 98663-1821
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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