JESUS ERNESTO CONRIQUE GARCIA

PORTLAND, OR
NPI1023836772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: OR  202003860CNA)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
-- JESUS ERNESTO CONRIQUE GARCIA
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-1111
Mailing Address
-- JESUS ERNESTO CONRIQUE GARCIA
907 SE 147TH AVE
VANCOUVER, WA 98683-8390
Phone number: 503-449-9673
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