Individual
VICTOR A COVARRUBIAS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 BRYANT AVE APT 9, WALLA WALLA, WA 99362-4174
(509) 367-4741
Mailing address
130 BRYANT AVE APT 9, WALLA WALLA, WA 99362-4174
(509) 367-4741
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
WA
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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