Individual
MAYRA ALEJANDRA HERMOSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W COURT ST, PASCO, WA 99301-4153
(509) 547-2204
(509) 542-8836
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61148818
WA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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