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Individual

JOHN RIEL LANUTAN BIHAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1652 25TH PL NE UNIT 3-201, ISSAQUAH, WA 98029-2607
(206) 348-8257
Mailing address
1652 25TH PL NE UNIT 3-201, ISSAQUAH, WA 98029-2607
(206) 348-8257

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
BIHAYJR071L1
WA
376J00000X
Homemaker

Other

Enumeration date
09/14/2017
Last updated
09/14/2017
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