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DIANA L PENA PRUDENTE VENTURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT

Contact information

Practice address
1402 AUBURN WAY N # 151, AUBURN, WA 98002-3384
(206) 710-3850
Mailing address
1402 AUBURN WAY N # 151, AUBURN, WA 98002-3384
(206) 710-3850

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
PC60708529
WA

Other

Enumeration date
02/26/2026
Last updated
03/23/2026
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