Individual
GUADALUPE LEONOR RVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 N LAVENTURE RD APT F2, MOUNT VERNON, WA 98273-5931
(360) 941-5480
Mailing address
1917 N LAVENTURE RD APT F2, MOUNT VERNON, WA 98273-5931
(360) 941-5480
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
MA4794
WA
171R00000X
Interpreter
Primary
MC55902
WA
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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