KEVIN JHORDAN MORENO VAZQUEZ

TACOMA, WA
NPI1801362165
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  337386)
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
KEVIN JHORDAN MORENO VAZQUEZ
9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98433
Phone number: 253-986-0982
Mailing Address
KEVIN JHORDAN MORENO VAZQUEZ
767 141ST STREET CT S
TACOMA, WA 98444-3398
Phone number: 678-622-0318
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