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Individual

ZINNIA MADON ELAVIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 747-4004
(425) 747-1069
Mailing address
16120 NE 8TH ST, BELLEVUE, WA 98008-3937
(425) 747-4004
(425) 747-1069

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60032437
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7018120
WA
Enumeration date
02/18/2009
Last updated
02/18/2009
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