Individual
CARLA ALEXANDRA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1211 AHTANUM RIDGE DR, UNION GAP, WA 98903
(509) 966-0199
Mailing address
755 SCHOOLEY RD, ZILLAH, WA 98953-9109
(509) 952-6701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00165310
WA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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