Individual
AMY FALQUEZ GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE STE 100, TACOMA, WA 98402-5502
(253) 593-2413
Mailing address
17727 75TH AVE E, PUYALLUP, WA 98375-3306
(253) 468-6846
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00048818
WA
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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