Individual
MELYNDA B ELBENNANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 ANDOVER PARK E, SUITE 6, TUKWILA, WA 98188-2938
(206) 575-3182
Mailing address
17641 156TH AVE SE, RENTON, WA 98058-9011
(206) 898-1857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/16/2010
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