Individual
FELIPE I BAUTISTA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4612 SAGUARO DR, PASCO, WA 99301-8112
(509) 380-7112
Mailing address
4612 SAGUARO DR, PASCO, WA 99301-8112
(509) 380-7112
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC14972
WA
171R00000X
Interpreter
SC11492
WA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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