Individual
MONICA JILL MIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
8819 W VICTORIA AVE STE 1108819W, KENNEWICK, WA 99336-7193
(509) 554-2889
Mailing address
8819 W VICTORIA AVE STE 110, KENNEWICK, WA 99336-7193
(509) 783-1851
(866) 452-2390
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60612121
WA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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