Individual
SALLY SANDOVAL AGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 W 17TH AVE, KENNEWICK, WA 99337-3427
(509) 374-6707
Mailing address
1726 W 17TH AVE, KENNEWICK, WA 99337-3427
(509) 374-6707
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC13339
WA
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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