Individual
MARY PELLICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
214 S 47TH AVE, YAKIMA, WA 98908-3234
(509) 965-4502
(866) 420-1654
Mailing address
732 SUMMITVIEW AVE # 566, YAKIMA, WA 98902-3032
(509) 965-4502
(866) 420-1654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027543
WA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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