Individual
JOHANA BAUCAN VILLAHERMOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3810 S ST, VANCOUVER, WA 98663-2553
(360) 433-9626
Mailing address
3810 S ST, VANCOUVER, WA 98663-2553
(360) 433-9626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00163601
WA
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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