Individual
DR. MARIA TERESA OUANO TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39 SHORT CUT RD, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7021
Mailing address
PO BOX 290, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C50827
CA
207Q00000X
Family Medicine Physician
G6111
TX
207Q00000X
Family Medicine Physician
Primary
MD00047590
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000718
—
WA
Enumeration date
08/22/2006
Last updated
03/27/2013
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