Provider Demographics
NPI:1790154656
Name:ELAURIA, MARIALUISA ONG
Entity Type:Individual
Prefix:
First Name:MARIALUISA
Middle Name:ONG
Last Name:ELAURIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 SW 341ST PL
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8011
Mailing Address - Country:US
Mailing Address - Phone:253-948-8538
Mailing Address - Fax:
Practice Address - Street 1:1903 SW 341ST PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-8011
Practice Address - Country:US
Practice Address - Phone:253-948-8538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-22
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60071615163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse