TETYANA MCILVAINE

SILVERDALE, WA
NPI1033645684
Former NameTETYANA TSEBRO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: HI  dos1935)
Enumeration Date2017-05-02
Last Update Date2021-07-09
Business Address
TETYANA MCILVAINE DO
9177 RIDGETOP BLVD NW
SILVERDALE, WA 98383-8519
Phone number: 360-307-6961
Mailing Address
TETYANA MCILVAINE DO
9177 RIDGETOP BLVD NW
SILVERDALE, WA 98383-8519
Phone number: 360-307-6961