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Individual

KIMBERLY AVALOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
609 SPEYERS RD, SELAH, WA 98942-1050
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN61081649
WA

Other

Enumeration date
11/17/2021
Last updated
11/17/2021
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