Individual
AZALIA L SOLORIO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E FIR ST, OTHELLO, WA 99344-1030
(509) 707-9430
Mailing address
210 E FIR ST, OTHELLO, WA 99344-1030
(509) 707-9430
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54048
WA
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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