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Individual

FRANCISCO JACIEL VILLANUEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4690 ALMA RD NE, MOSES LAKE, WA 98837-3793
(509) 761-8161
Mailing address
4690 ALMA RD NE, MOSES LAKE, WA 98837-3793
(509) 761-8161

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
05/09/2019
Last updated
05/09/2019
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