Individual
PARIS QUINCY-JAMAL HEART-HESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 BROADWAY ST # 212, VANCOUVER, WA 98663-3436
(360) 991-1811
Mailing address
1012 ESTHER ST, VANCOUVER, WA 98660-3028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
HEARTPG092KF
WA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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