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Individual

JOSEFINA CRUZ MORENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4622 S GAZELLE ST, SEATTLE, WA 98118-5636
(206) 228-6547
Mailing address
4622 S GAZELLE ST, SEATTLE, WA 98118-5636
(206) 228-6547

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0286881
L&I PROVIDER NUMBER
WA
Enumeration date
08/30/2020
Last updated
08/30/2020
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