Individual
NICOLAS BOHORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
116393
TX
Other
Enumeration date
05/21/2025
Last updated
12/17/2025
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