Individual
EDGAR ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W LINCOLN AVE STE 119, YAKIMA, WA 98902-2571
(509) 902-8428
(509) 902-8429
Mailing address
1115 W LINCOLN AVE STE 119, YAKIMA, WA 98902-2571
(509) 902-8428
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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