Individual
MR. GIAN KAISER CRISTOBAL VANGUARDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3704 N 35TH ST, TACOMA, WA 98407-6033
(509) 205-5216
Mailing address
3704 N 35TH ST, TACOMA, WA 98407-6033
(509) 205-5216
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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