Individual
RODRIGO LANDEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7315 212TH ST SW, SUITE 201, EDMONDS, WA 98026-7610
(425) 778-8116
Mailing address
17 OLD POST RD, MONTGOMERY, IL 60538-2609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60655595
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60655595
WA
Other
Enumeration date
05/18/2016
Last updated
08/25/2021
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