Individual
MANUEL AGUIRRE GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4617 80TH ST NE APT 3, MARYSVILLE, WA 98270-3475
(425) 343-5536
Mailing address
4617 80TH ST NE APT 3, MARYSVILLE, WA 98270-3475
(425) 343-5536
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC14982
WA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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