Individual
CHRISTIAN JEAN EUSTAQUIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1495 NW GILMAN BLVD STE 4, ISSAQUAH, WA 98027-5328
(425) 392-2346
Mailing address
13407 GREENWOOD AVE N APT 311, SEATTLE, WA 98133-7339
(661) 549-1994
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61336996
WA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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