Individual
JOAQUIN VIDRIO EFIGENIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24510 108TH PL SE, KENT, WA 98030-5034
(360) 908-4513
Mailing address
24510 108TH PL SE, KENT, WA 98030-5034
(360) 908-4513
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC56666
WA
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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