Individual
JORGE A FLOREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16820 1ST AVE SE, MILL CREEK, WA 98012-5905
(425) 750-5803
Mailing address
16000 75TH PL W, EDMONDS, WA 98026-4524
(425) 750-5803
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
435600
WA
311ZA0620X
Adult Care Home Facility
520702
WA
311ZA0620X
Adult Care Home Facility
649300
WA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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