Individual
ANNETTE PEARL VILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
971 11TH AVE, LONGVIEW, WA 98632-2503
(360) 423-6140
Mailing address
971 11TH AVE, LONGVIEW, WA 98632-2503
(360) 423-6140
(360) 423-1405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T1877
TX
Other
Enumeration date
03/29/2019
Last updated
09/19/2024
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