ALWIN JED BERGONIA SACRO

BELLEVUE, WA
NPI1659072262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT61372228)
Enumeration Date2023-03-13
Last Update Date2023-06-13
Business Address
ALWIN JED BERGONIA SACRO
11511 NE 10TH ST
BELLEVUE, WA 98004-8578
Phone number: 425-502-3000
Mailing Address
ALWIN JED BERGONIA SACRO
18502 96TH AVE E
PUYALLUP, WA 98375-6330
Phone number:
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