Individual
CITLALLY TELLEZ-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 N 9TH AVE, PASCO, WA 99301-3650
(509) 531-6054
Mailing address
1908 N 9TH AVE, PASCO, WA 99301-3650
(509) 531-6054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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