Individual
MRS. YURIDIA VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 2ND AVE, BURBANK, WA 99323-9700
(509) 314-9170
Mailing address
149 2ND AVE, BURBANK, WA 99323-9700
(509) 314-9170
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MC18201
WA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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