Individual
ELIZABETH VITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3000
Mailing address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60871629
WA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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