Ismael C Tellez

NPI #1578705166 in Lebanon, Oregon

Provider Information

NPI Number
1578705166
Entity Type
Individual
Name
Ismael C Tellez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Mar 30, 2009
Last Updated
Mar 30, 2009

Practice Location

Address
55 TWIN OAKS AVE STE A1
State
Oregon
ZIP Code
97355-2805
Phone
(541) 451-6920

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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