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Individual

MR. ENRIQUE JUAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.P.

Contact information

Practice address
6307 NE 117TH AVE STE C, VANCOUVER, WA 98662-5500
(360) 253-4285
Mailing address
604 SE 121ST AVE, VANCOUVER, WA 98683-6096
(360) 619-2726

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MA60567566
WA

Other

Enumeration date
08/05/2015
Last updated
08/05/2015
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