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 |
Yakima Gastroenterology Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Creekside Loop, Suite 130, Yakima, WA 98902 Phone: 509-248-6616 Fax: 509-248-4983 | |