Individual
ELIENHEL JOY G UDTOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP61213828
Contact information
Practice address
1412 140TH PL NE, BELLEVUE, WA 98007-3915
(747) 789-2425
Mailing address
15448 NE 13TH PL APT 1506, BELLEVUE, WA 98007-7542
(425) 274-5907
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61213828
WA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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