Individual
ANA IVETTE PENALOZA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 534-3314
Mailing address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 453-1344
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CM60981777
WA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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