Individual
LUIS EYMARD JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499
(425) 374-2508
Mailing address
2521 57TH ST. SW, EVERETT, WA 98203
(425) 374-2508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60594033
WA
Other
Enumeration date
10/08/2015
Last updated
08/17/2018
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