Individual
JENNY LESVIA GUANDIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 N 26TH ST APT 106, MOUNT VERNON, WA 98273-2787
(360) 429-9390
Mailing address
PO BOX 1972, MOUNT VERNON, WA 98273-1972
(360) 429-9390
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
604313386
WA
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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