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Individual

BABY ELNAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2592 S MERIDIAN APT B, PUYALLUP, WA 98373-1546
(850) 387-6527
Mailing address
2592 S MERIDIAN APT B, PUYALLUP, WA 98373-1546
(850) 387-6527

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
313250
IA

Other

Enumeration date
01/16/2021
Last updated
01/16/2021
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