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Individual

MR. LUPE TREVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSW

Contact information

Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61087420
WA
164W00000X
Licensed Practical Nurse
Primary
LP00056306
WA

Other

Enumeration date
05/21/2009
Last updated
04/14/2026
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