Individual
ELENA SHIRGALIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SE AUBURN ST, PORT ORCHARD, WA 98367-7852
(360) 616-4550
Mailing address
1900 SE AUBURN ST, PORT ORCHARD, WA 98367-7852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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