Individual
SULLY VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 W JOHN DAY AVE APT A101, KENNEWICK, WA 99336-2457
(956) 929-2550
Mailing address
3101 W JOHN DAY AVE APT A101, KENNEWICK, WA 99336-2457
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54953
WA
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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