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19109 36th Ave W Ste 209 Lynnwood WA 98036-5767 | |
| (425) 673-7585 | |
| (425) 673-7586 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19109 36th Ave W Ste 209, Lynnwood, Washington |
| Authorized Official Name and Position | Erika Giraldo (OWNER) |
| Authorized Official Contact | 2063901968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
19109 36th Ave W Ste 209 Lynnwood WA 98036-5767 Ph: (425) 673-7585 | 19109 36th Ave W Ste 209 Lynnwood WA 98036-5767 Ph: (425) 673-7585 |
| NPI Number | 1720560436 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 08/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720560436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | AP60201664 (Washington) | Primary |
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