Individual
JOSE LANDAVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31521 8TH AVE S, FEDERAL WAY, WA 98003-5303
(253) 945-6450
Mailing address
31521 8TH AVE S, FEDERAL WAY, WA 98003-5303
(253) 945-6450
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
750008
WA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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