Individual
OSCAR MANUAL MEZA-VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12812 101ST AVENUE CT E, PUYALLUP, WA 98373-9101
(253) 864-4770
(253) 864-4771
Mailing address
12812 101ST AVENUE CT E, PUYALLUP, WA 98373-9101
(253) 864-4770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60889560
WA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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