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Individual

KAYLA SERBANTEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4305 E TRENT AVE, SPOKANE VALLEY, WA 99212-1315
(509) 495-1207
Mailing address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61213419
WA

Other

Enumeration date
12/02/2022
Last updated
12/02/2022
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