Individual
EDER JOSUE TRUJILLO CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6409 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7454
(360) 718-8376
Mailing address
2073 SW PARK AVE APT 222, PORTLAND, OR 97201-3121
(541) 647-9076
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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