Individual
HAYLEY FAVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 NE 306TH CIR, LA CENTER, WA 98629-2212
(564) 244-8733
Mailing address
1415 S 6TH AVE, KELSO, WA 98626-2028
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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