Individual
MRS. NOLVIA BARAHONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
627 W FRANKLIN ST, SHELTON, WA 98584-3504
(360) 763-5610
Mailing address
2612 BOULEVARD PARK CT SE, OLYMPIA, WA 98501-4306
(360) 489-7970
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60877000
—
WA
Enumeration date
12/16/2018
Last updated
12/16/2018
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