NPI 1679393250
Victory Athletic Exchange
Practice location
- Address
- 3915 H St APT D, Vancouver, WA 98663-1880
- Phone
- (360) 409-1031
Authorised official
- Name
- Austin Jacob Candanoza
- Title
- Executive Director
- Phone
- (424) 383-4905
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1679393250
- Entity type
- Organization
- NPI issued
- 16 Oct 2024
- Record last updated
- 16 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.