Individual
MIGUEL JOVANY MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9003 CANYON DR, KENT, WA 98030-4779
(253) 876-4900
(888) 357-7244
Mailing address
9003 CANYON DR, KENT, WA 98030-4779
(253) 876-4900
(888) 357-7244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60412291
WA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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