Individual
MR. JOEY JOSE CRISTOBAL JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 320, VANCOUVER, WA 98664-3205
(360) 514-6300
(360) 514-6301
Mailing address
8925 COLONIAL CENTER DR STE 2000, FORT MYERS, FL 33905-7813
(239) 333-0995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10013567
OR
363L00000X
Nurse Practitioner
Primary
AP61401342
WA
363L00000X
Nurse Practitioner
ARNP9379248
FL
Other
Enumeration date
05/22/2018
Last updated
08/29/2023
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