IDALIS LICEA

Ambulatory Care Registered Nurse · PROSSER, WA

Individual Active NPI 1407789001

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Ambulatory Care Registered Nurse163WP2201X61382393WA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

IDALIS LICEA — NPI 1407789001