Individual
ILEANA D AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21849 SE 266TH PL, MAPLE VALLEY, WA 98038-6133
(425) 269-3528
Mailing address
21849 SE 266TH PL, MAPLE VALLEY, WA 98038-6133
(425) 269-3528
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
MC54753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12345678
MEDICAL INTERPRETER
—
Enumeration date
04/22/2021
Last updated
04/22/2021
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