Individual
ALYSSA FACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELORS DEGREE
Contact information
Practice address
511 S ELM ST, TOPPENISH, WA 98948-1651
(509) 759-9825
Mailing address
511 S ELM ST, TOPPENISH, WA 98948-1651
(509) 759-9825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910576806
—
WA
Enumeration date
02/15/2023
Last updated
02/15/2023
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