Individual
ELILIA MARLENE TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
10975
TX
246Z00000X
Other Specialist/Technologist
Primary
2997
NV
Other
Enumeration date
09/08/2008
Last updated
03/27/2018
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