Individual
MARIA ALELI TABIO ELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4309 W. 27TH AVE., SUITE 301, KENNEWICK, WA 99336-0128
(509) 222-2240
(509) 222-2239
Mailing address
3730 PLAZA WAY, FLOOR 5, KENNEWICK, WA 99338-2718
(509) 222-2240
(509) 222-2239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00045901
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053459578
—
WA
Enumeration date
02/05/2007
Last updated
02/10/2017
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