Individual
JUAN CONDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117020 YELM HWY SE, OLYMPIA, WA 98513
(360) 413-3039
Mailing address
11702 YELM HWY SE, OLYMPIA, WA 98513-9109
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316424
TX
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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