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Individual

HEATHER RAE AVELAR I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1324 CONCORD CT, PROSSER, WA 99350-1259
(509) 820-0441
Mailing address
8819 W VICTORIA AVE # 110, KENNEWICK, WA 99336-7193
(509) 783-1851

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60784942
WA

Other

Enumeration date
10/23/2023
Last updated
10/23/2023
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