Individual
DEXTER VARILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2228 169TH AVE NE, BELLEVUE, WA 98008-2435
(425) 502-9090
Mailing address
2228 169TH AVE NE, BELLEVUE, WA 98008-2435
(425) 502-9090
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10051704
WA
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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