Individual
NATHALIE M DE LA O GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 NE 134TH ST STE 140, VANCOUVER, WA 98686-3036
(360) 504-0122
Mailing address
12801 NE 43RD CIR, VANCOUVER, WA 98682-6492
(360) 869-5381
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61112189
WA
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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