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Individual

MARIA TERESA MARTINEZ DE VILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18020 40TH AVE W, LYNNWOOD, WA 98037-3816
(509) 294-6462
Mailing address
18020 40TH AVE W, LYNNWOOD, WA 98037-3816
(509) 294-6462

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M635558678660
DRIVERS LICENSE
FL
Enumeration date
03/24/2021
Last updated
03/24/2021
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