Individual
BENITO RAMOS-VAZQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5436 232ND AVE SE, ISSAQUAH, WA 98029-6220
(425) 635-8431
Mailing address
11414 164TH AVE SE TRLR 62, RENTON, WA 98059-6120
(425) 635-8431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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