Roman Antioquia
Roman Antioquia is a Specialist in Mountlake Terrace, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2014
Practice location Address checks out
6808 220th St SW Ste 203Mountlake Terrace, WA 98043-2187
Phone: (425) 776-1056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence MA60384227 (WA) |
|---|
Record details
| NPI number | 1790186633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2014 |
| Last updated in NPPES | September 10, 2014 |
| Mailing address | 6808 220th St Sw, Suite 203, Mountlake Terrace, WA 98043-2187 |
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Stacy Bertsch, LMP
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Julie Anne Davis, LMP
6808 220th St SW Ste 203, Mountlake Terrace, WA 98043-2187 · (425) 776-1056