Individual
AVILENE CHICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10700 MERIDIAN AVE N STE G11, SEATTLE, WA 98133-9008
(206) 461-4544
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61041147
WA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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