Individual
ERICK FABRIAM VIDEIRA PAUCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 UNIVERSITY PKWY, YAKIMA, WA 98901-9539
(406) 690-8777
Mailing address
12024 NE 109TH ST, VANCOUVER, WA 98662-3421
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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