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Individual

LADONNA MABEL VALENCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1230 MONITOR ST, WENATCHEE, WA 98801-3534
(509) 300-1221
Mailing address
2036 LASSO DR, WENATCHEE, WA 98801-8994
(509) 881-8958
(509) 667-2505

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00099262
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073047486
WA
Enumeration date
10/08/2018
Last updated
10/08/2018
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