Individual
MARIEL CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 E. MAIN STREET, ELMA, WA 98541
(360) 346-2222
(360) 346-2157
Mailing address
SUMMIT PACIFIC MEDICAL CENTER, 600 E. MAIN STREET, ELMA, WA 98541
(360) 346-2222
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
10/05/2021
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