Individual
MARIANA VILLANUEVA LENERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD61421236
WA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2019
Last updated
10/16/2023
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