Individual
ELENA KOLEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 PACIFIC AVE S # 102, KELSO, WA 98626-1638
(360) 423-0203
(360) 577-0187
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61094273
WA
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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