Individual
TALIA RUBY AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3719 LAKELSE LN, PASCO, WA 99301-3523
(509) 263-6658
Mailing address
3719 LAKELSE LN, PASCO, WA 99301
(509) 263-6658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61221140
WA
Other
Enumeration date
09/16/2021
Last updated
06/26/2023
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