Individual
DIANA REYES LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 S SHADY LN, OTHELLO, WA 99344-1815
(512) 876-1985
Mailing address
910 S SHADY LN, OTHELLO, WA 99344-1815
(512) 876-1985
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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