Individual
LUJOCK DHOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7605 NE 99TH AVE, VANCOUVER, WA 98662-2911
(360) 270-0366
Mailing address
414 NE 160TH AVE APT 50, PORTLAND, OR 97230-5499
(360) 270-0366
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
WA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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