Individual
CARLY VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 N LIDGERWOOD ST STE 126, SPOKANE, WA 99208-1122
(509) 434-1990
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61334651
WA
Other
Enumeration date
03/27/2019
Last updated
03/19/2023
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