Individual
MARGARITA GONZALEZ CARBAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 S AHTANUM AVE, WAPATO, WA 98951-1230
(509) 901-9688
Mailing address
606 S AHTANUM AVE, WAPATO, WA 98951-1230
(509) 901-9688
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55412
WA
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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