Individual
ISIS ELOISA MONTANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC19256
Contact information
Practice address
1212 S 136TH ST, BURIEN, WA 98168-2862
(206) 519-0679
(206) 208-6167
Mailing address
1212 S 136TH ST, BURIEN, WA 98168-2862
(206) 519-0679
(206) 208-6167
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC19256
WA
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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