Individual
MARLENE MAY GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
408 BUSTER ROAD, TOPPENISH, WA 98958
(509) 865-2102
(509) 865-1729
Mailing address
1424 S 25TH AVE, YAKIMA, WA 98902-5100
(509) 457-3622
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
HC00148288
WA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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