Individual
IXA YAMILET BRAVO REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 AIRPORT DR, BELLINGHAM, WA 98226-8048
(360) 734-5458
Mailing address
3350 AIRPORT DR, BELLINGHAM, WA 98226-8048
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
02/07/2023
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