Individual
JOY A ELIJAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15858 1ST AVE S, SUITE 104, BURIEN, WA 98148-1299
(206) 838-0021
(206) 838-0021
Mailing address
16915 SE 272ND ST, #100-115, COVINGTON, WA 98042-7347
(425) 308-0340
(425) 277-0445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021276
WA
Other
Enumeration date
04/07/2011
Last updated
01/20/2015
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