Individual
IZASKUN MELANIA IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5602 W CLEARWATER AVE, KENNEWICK, WA 99336-1909
(877) 472-7430
(509) 769-5083
Mailing address
5602 W CLEARWATER AVE, KENNEWICK, WA 99336-1909
(877) 472-7430
(509) 769-5083
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036135005
IL
208000000X
Pediatrics Physician
Primary
MD61124696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135005
—
IL
05
—
2204934
—
WA
Enumeration date
06/23/2011
Last updated
06/20/2023
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