Individual
JOSHUA STEVEN MONTUFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6208 WHISPER LN SW, LAKEWOOD, WA 98499-1139
(253) 341-7051
Mailing address
6208 WHISPER LN SW, LAKEWOOD, WA 98499-1139
(253) 341-7051
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54019
WA
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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