Individual
IONATAN CAUNEAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(888) 884-4913
Mailing address
547 DAYTON ST, EDMONDS, WA 98020-3431
(206) 923-8886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60989458
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61299473
WA
Other
Enumeration date
06/19/2021
Last updated
09/21/2024
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