Provider Demographics
NPI:1790583532
Name:OROZCO-VILLICANA, MARIA ARACELI (MA61519068)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ARACELI
Last Name:OROZCO-VILLICANA
Suffix:
Gender:
Credentials:MA61519068
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 N LAVENTURE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-5815
Mailing Address - Country:US
Mailing Address - Phone:564-900-7112
Mailing Address - Fax:
Practice Address - Street 1:4418 RUCKER AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2397
Practice Address - Country:US
Practice Address - Phone:425-258-1969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61519068225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist