Individual
NANCY LIZBETH TELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 S 34TH AVE, YAKIMA, WA 98902-4805
(509) 910-9291
Mailing address
1310 S 34TH AVE, YAKIMA, WA 98902-4805
(509) 910-9291
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC13697
WA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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