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Ellie Vandervert

NPI 1326864125 · on the registry since 2024 · sole proprietor

Practice

Address
14202 N Market St
Mead, WA 99021
Phone
(509) 242-0201
Organisation at this address
Yokes Food Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington