Individual
MS. QUELIFFUER JIREH SUYAMIN TANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
903 S ADAMS ST., RITZVILLE, WA 99169
(509) 659-1200
(509) 659-1832
Mailing address
104 E 2ND AVE, APT 2, RITZVILLE, WA 99169
(513) 687-6173
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN61560128
WA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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