Individual
ROSA ELENA BIRRUETA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 SAGUARO DR, PASCO, WA 99301-8112
(509) 845-0628
Mailing address
4612 SAGUARO DR, PASCO, WA 99301-8112
(509) 845-0628
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC15306
WA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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