| Maryalice Hardison Telemedicine Pllc | |
|
707 S 17th Ave Yakima WA 98902-4203 | |
| (561) 543-7064 | |
| Not Available |
| Full Name | Maryalice Hardison Telemedicine Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 707 S 17th Ave, Yakima, Washington |
| Authorized Official Name and Position | Maryalice Hardison (FOUNDER) |
| Authorized Official Contact | 5615437064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryalice Hardison Telemedicine Pllc 707 S 17th Ave Yakima WA 98902-4203 Ph: (561) 543-7064 | Maryalice Hardison Telemedicine Pllc 707 S 17th Ave Yakima WA 98902-4203 Ph: (561) 543-7064 |
| NPI Number | 1073240636 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073240636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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