Individual
MARIA REVINA OCHOA IGNACIO VITUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
521 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 221-5222
(509) 221-5271
Mailing address
521 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 221-5222
(509) 221-5271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36208
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417938556
—
WI
Enumeration date
11/07/2005
Last updated
03/02/2021
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