ELENA EUSTAQUIO ICAYAN

PASCO, WA
NPI1851386619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207U00000X Nuclear Medicine
(Licence: WA  MD00013006)
Enumeration Date2005-09-16
Last Update Date2007-10-30
Business Address
Mrs. ELENA EUSTAQUIO ICAYAN MD ScD
520 N 4TH AVE
PASCO, WA 99301-5257
Phone number: 509-546-2318
Mailing Address
Mrs. ELENA EUSTAQUIO ICAYAN MD ScD
1222 COUNTRY RIDGE DR
RICHLAND, WA 99352-7763
Phone number: 509-627-0953
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