Individual
ESMERALDA MACIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 457-6540
Mailing address
105 S J ST, TOPPENISH, WA 98948-1436
(509) 759-0688
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60433480
WA
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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