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205 Stewart Rd Suite 104 Mount Vernon WA 98273-9607 | |
(360) 416-3322 | |
(360) 707-7103 |
Full Name | |
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Speciality | Family Medicine |
Location | 205 Stewart Rd, Mount Vernon, Washington |
Authorized Official Name and Position | Eliana Echevarria (MEDICAL DIRECTOR) |
Authorized Official Contact | 3604163322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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205 Stewart Rd Suite 104 Mount Vernon WA 98273-9607 Ph: (360) 416-3322 | 205 Stewart Rd Suite 104 Mount Vernon WA 98273-9607 Ph: (360) 416-3322 |
NPI Number | 1336531888 |
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Provider Enumeration Date | 02/20/2015 |
Last Update Date | 02/20/2015 |
Identifier | Type | State | Issuer |
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1336531888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | AP60118940 (Washington) | Primary |
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