Individual
JAHAZIEL DE LEON QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11625 SE 269TH ST, KENT, WA 98030-8493
(206) 518-8897
Mailing address
11625 SE 269TH ST, KENT, WA 98030-8493
(206) 518-8897
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC18519
WA
Other
Enumeration date
09/10/2020
Last updated
08/11/2021
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