Individual
ITTAY BERNARDO SANCHEZ I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19622 133RD AVENUE CT E, GRAHAM, WA 98338-8114
(253) 468-2880
Mailing address
19622 133RD AVENUE CT E, GRAHAM, WA 98338-8114
(253) 468-2280
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
PMC15657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-2682728
LABOR AND INDUSTRIES
WA
Enumeration date
01/26/2021
Last updated
01/26/2021
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