Individual
VIVIANA ALICIA VALENZUELA AHUMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
PO BOX 257, PMB 10990, OLYMPIA, WA 98507-0257
(360) 584-7581
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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