Individual
EDJOCHRIS GUTIERREZ ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8101 83RD AVE SW APT H22, LAKEWOOD, WA 98498-6025
(198) 022-6292
Mailing address
8101 83RD AVE SW APT H22, LAKEWOOD, WA 98498-6025
(198) 022-6292
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60807023
WA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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