Search › Washington › 163WP2201X
Idalis Licea
NPI 1407789001 · on the registry since 2026
Practice
- Address
- 326 Chardonnay Ave
Prosser, WA 99350 - Phone
- (509) 786-1576
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 163WP2201X
163WP2201X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington