Individual
MR. GUILLERMO VENEGAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 476-0406
Mailing address
4640 NW 82ND ST, SILVERDALE, WA 98383-9201
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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