Individual
ROSA VIRGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2139 VAN GIESEN ST, RICHLAND, WA 99354-2746
(509) 946-4645
Mailing address
2139 VAN GIESEN ST, RICHLAND, WA 99354-2746
(509) 946-4645
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CM60440803
WA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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