Individual
KRISTIAN HONTIVEROS VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3475 N SARATOGA ST, BLDG 993, OAK HARBOR, WA 98278-8800
(360) 257-9501
(360) 257-9878
Mailing address
3475 N SARATOGA ST, BLDG 993, OAK HARBOR, WA 98278-8800
(360) 257-9501
(360) 257-9878
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
07/15/2015
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