Individual
CHRISTIAN MANUEL GUADAMUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10005335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0241149
L&I
WA
05
—
8504128
—
WA
01
—
8949262
CRIME VICTIMS
WA
01
—
P00471589
RAILROAD MEDICARE
WA
01
—
P01418020
RR MEDICARE WVH
WA
Enumeration date
12/11/2007
Last updated
06/22/2022
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