| Complementary Integrated Health Care,llc | |
|
619 Diagonal St Clarkston WA 99403-2041 | |
| (509) 758-9003 | |
| (509) 758-9001 |
| Full Name | Complementary Integrated Health Care,llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 619 Diagonal St, Clarkston, Washington |
| Authorized Official Name and Position | Charmaine R Allen-johnson (FNP) |
| Authorized Official Contact | 5097589003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complementary Integrated Health Care,llc 619 Diagonal St Clarkston WA 99403-2041 Ph: (509) 758-9003 | Complementary Integrated Health Care,llc 619 Diagonal St Clarkston WA 99403-2041 Ph: (509) 758-9003 |
| NPI Number | 1831347087 |
|---|---|
| Provider Enumeration Date | 08/29/2008 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831347087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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