Individual
COSTINA MAI-LY PAPATHEODOROU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
320 W 10TH AVE STE 202, KENNEWICK, WA 99336-6302
(509) 221-5520
(509) 221-5521
Mailing address
320 W 10TH AVE STE 202, KENNEWICK, WA 99336-6302
(509) 221-5520
(509) 221-5521
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/30/2023
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