Individual
VINICIO VIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 23RD AVE RM 7, SEATTLE, WA 98122-2919
(617) 694-6006
(000) 000-0000
Mailing address
1520 23RD AVE RM 7, SEATTLE, WA 98122-2919
(617) 694-6006
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
CL1278006
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WR70521A
—
NY
Enumeration date
11/10/2021
Last updated
11/10/2021
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