Individual
MISS RAYME ELIZONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 896-4463
Mailing address
2241 SE PALMBLAD RD, GRESHAM, OR 97080-9262
(503) 407-9562
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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