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Individual

MONICA LEIGH FAVILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
406 S 30TH AVE STE 206, YAKIMA, WA 98902-3713
(509) 574-3383
Mailing address
406 S 30TH AVE STE 206, YAKIMA, WA 98902-3713

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/11/2018
Last updated
01/12/2023
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