Individual
LUIS VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 SE 133RD PL, VANCOUVER, WA 98683-6176
(360) 921-4007
Mailing address
808 SE 133RD PL, VANCOUVER, WA 98683-6176
(360) 921-4007
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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