Individual
KARLA IVONNE BRICENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20525 12TH AVENUE CT E, SPANAWAY, WA 98387-8539
(253) 222-7818
Mailing address
20525 12TH AVENUE CT E, SPANAWAY, WA 98387-8539
(253) 222-7818
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0409889
LABOR AND INDUSTRIES SERVICE PROVIDER NUMBER
WA
Enumeration date
08/05/2020
Last updated
08/05/2020
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