Individual
DARLENNY MACEDO-VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 COOKS HILL RD, CENTRALIA, WA 98531-9071
(360) 261-6930
Mailing address
520 RICHMOND AVE, CENTRALIA, WA 98531-2553
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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