Individual
MISS BABYLYN VILLANUEVA ASPURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4033 TALBOT RD S STE 530, RENTON, WA 98055-5700
(425) 690-3433
(425) 690-9433
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60705511
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069673
—
WA
01
—
G8968983
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
03/04/2015
Last updated
05/05/2021
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