Individual
ELLEN I. TEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 S ELM ST, TOPPENISH, WA 98948-1651
(509) 865-5121
Mailing address
7700 YAKIMA VALLEY HWY, ZILLAH, WA 98953-9728
(509) 930-8772
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CM61165991
WA
Other
Enumeration date
08/24/2023
Last updated
04/01/2024
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