JORGE ABEL VIZCARRA

SEATTLE, WA
NPI1629446364
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: WA  DN00000259)
Enumeration Date2015-09-11
Last Update Date2015-09-11
Business Address
JORGE ABEL VIZCARRA LD
12733 LAKE CITY WAY NE STE 301
SEATTLE, WA 98125-4490
Phone number: 206-365-5060
Mailing Address
JORGE ABEL VIZCARRA LD
12733 LAKE CITY WAY NE STE 301
SEATTLE, WA 98125-4490
Phone number: 206-365-5060