Organization
MARYALICE HARDISON TELEMEDICINE PLLC
Active
Other names
Ravenheart Telemedicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYALICE HARDISON (FOUNDER)
(561) 543-7064
Entity
Organization
Contact information
Practice address
707 S 17TH AVE, YAKIMA, WA 98902-4203
(561) 543-7064
Mailing address
707 S 17TH AVE, YAKIMA, WA 98902-4203
(561) 543-7064
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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