Search › Washington › 171R00000X

Rodolfo Herrera Guandique

NPI 1710594429 · on the registry since 2020 · sole proprietor

Practice

Address
1608 N 26th St Apt 106
Mount Vernon, WA 98273
Phone
(360) 429-9392
Clinicians at this address
2

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington