Individual
AIDA ARLIN JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 W COURT ST, PASCO, WA 99301
(509) 597-2204
Mailing address
515 W COURT ST, PASCO, WA 99301
(509) 597-2204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00051469
WA
174400000X
Specialist
Primary
CL60160169
WA
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL60160169
WA STATE LICENSE
WA
Enumeration date
12/27/2006
Last updated
04/26/2022
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