Individual
HUSAI JAVIER MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PHYSICAL EDUCATION CLASSROOM, CHENEY, WA 99004
(509) 359-2427
(509) 359-4833
Mailing address
1090 W BETZ RD, CHENEY, WA 99004-8400
(509) 830-1743
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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