Individual
MR. JOSE JAMES DORIA CEREZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11120 NE 33RD PL STE 202, BELLEVUE, WA 98004-1444
(253) 888-0352
Mailing address
4903 70TH AVENUE CT W, UNIVERSITY PLACE, WA 98467-3233
(253) 888-0352
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP61353199
WA
363LG0600X
Gerontology Nurse Practitioner
AP61353199
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP61353199
WA
Other
Enumeration date
11/01/2022
Last updated
12/05/2022
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