Individual
ALTURQUAN PAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20021 145TH ST E, BONNEY LAKE, WA 98391-6181
(360) 209-3171
Mailing address
20021 145TH ST E, BONNEY LAKE, WA 98391-6181
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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