Individual
CARLOS FIDEL MEZA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11611 NE ANGELO DR APT 44, VANCOUVER, WA 98684-4317
(360) 936-1160
Mailing address
11611 NE ANGELO DR APT 44, VANCOUVER, WA 98684-4317
(360) 936-1160
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55013
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC55013
STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES
WA
Enumeration date
08/17/2020
Last updated
05/21/2024
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