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Roman Antioquia
Specialist in Mountlake Terrace, Washington
NPI 1790186633

Roman Antioquia is a Specialist based in Mountlake Terrace, WA. Roman Antioquia practices in Mountlake Terrace, WA. The NPI Number for Roman Antioquia is 1790186633 and holds a License No. MA60384227 (Washington).

The current practice location address for Roman Antioquia is 6808 220Th St Sw, Mountlake Terrace, WA and can be reached out via phone at 425-776-1056.

Location: 6808 220Th St Sw, Mountlake Terrace, WA, 98043-2187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790186633
Provider Name
Roman Antioquia
Credential
Provider Entity Type
Individual
Gender
Male
Address
6808 220Th St Sw, Mountlake Terrace, WA, 98043-2187
Phone Number
425-776-1056
Fax Number
Provider Enumeration Date
09/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6808 220Th St Sw
City
Mountlake Terrace
State
Washington
Zip
98043-2187
Phone Number
425-776-1056
Fax Number
person
Provider Business Mailing Address Details
Address
6808 220Th St Sw
City
Mountlake Terrace
State
Washington
Zip
98043-2187
Phone Number
425-776-1056
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60384227 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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