Most Relevant Information
Provider Data
| NPI Number: | 1003263898 |
| Provider Name: | LIZANIA HURTADO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 60637128 |
Most Important Dates
| Enumeration Date: | 05/21/2016 |
| Last Updated: | 05/21/2016 |
Provider Practice Location
640 S MISSION ST
WENATCHEE
WA
988013050
Practice Location Phone/Fax
| Phone: | 5096626761 |
| Fax: |
Provider Mailing Location
640 S MISSION ST
WENATCHEE
WA
988013050
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |