Individual
CID DEAN AVELLANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 188TH ST NW, ARLINGTON, WA 98223-8325
(425) 346-8910
Mailing address
1905 188TH ST NW, ARLINGTON, WA 98223-8325
(425) 346-8910
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC12734
WA
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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