Individual
ELVIA AURORA SAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 FRANZ ANDERSON RD SE, OLYMPIA, WA 98501-2137
(360) 456-6490
Mailing address
430 FRANZ ANDERSON RD SE, OLYMPIA, WA 98501-2137
(360) 456-6490
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC55877
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02051961
LABOR AND INDUSTRIES
WA
Enumeration date
07/28/2020
Last updated
07/28/2020
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