Individual
MR. DAVID RIOS QUITUGUA IV IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 COOPER POINT RD SW STE 21, OLYMPIA, WA 98502-1179
(360) 810-2276
Mailing address
PO BOX 6286, OLYMPIA, WA 98507-6286
(360) 810-2276
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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