FAYE PHILOMENA PROVENZA

YAKIMA, WA
NPI1053365247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NV  630)
Enumeration Date2006-05-20
Last Update Date2007-07-08
Business Address
Dr. FAYE PHILOMENA PROVENZA MD
110 S 9TH AVE
YAKIMA, WA 98902-3315
Phone number: 509-575-5061
Mailing Address
Dr. FAYE PHILOMENA PROVENZA MD
12540 STILLWATER WAY
RENO, NV 89511-7780
Phone number: 502-594-8462
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