Individual
RICHELLE MARIE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
BLDG 11572 17TH & C STREET, TACOMA, WA 98433
(253) 967-4989
Mailing address
BLDG 11572 17TH & C STREET, APO, AE 98433
(253) 967-4989
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
WA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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