Individual
PALOMA VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21413 111TH CT SE, KENT, WA 98031-2190
(206) 898-0121
Mailing address
21413 111TH CT SE, KENT, WA 98031-2190
(206) 898-0121
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC10973
WA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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