Individual
NANCY CAROLINA MENJIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 ROAD 68, PASCO, WA 99301-8078
(509) 543-9300
Mailing address
5611 TOPEKA DR, PASCO, WA 99301-9663
(509) 551-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1710761184
WA
Other
Enumeration date
08/24/2023
Last updated
05/30/2024
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