Victory Athletic Exchange
NPI #1679393250 in Vancouver, Washington
Provider Information
- NPI Number
- 1679393250
- Entity Type
- Organization
- Organization Name
- Victory Athletic Exchange
- Primary Specialty
- Case Management
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 3915 H ST APT D
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98663-1880
- Phone
- (360) 409-1031
Authorized Official
- Name
- AUSTIN JACOB CANDANOZA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (424) 383-4905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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