Individual
CHERYLANN QUICHOCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7012 NE 124TH AVE, VANCOUVER, WA 98682-4736
(720) 270-9734
Mailing address
7012 NE 124TH AVE, VANCOUVER, WA 98682-4736
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60831038
WA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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