Individual
JEREMIAS ANDRES JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
426 S 112TH ST, SEATTLE, WA 98168-1457
(206) 665-6781
Mailing address
426 S 112TH ST, SEATTLE, WA 98168-1457
(206) 665-6781
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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