Ja Medical Center Ps | |
725 North Stanley Street Suite A Medical Lake WA 99022-8819 | |
(509) 299-2858 | |
(509) 299-2868 |
Full Name | Ja Medical Center Ps |
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Speciality | Family Medicine |
Location | 725 North Stanley Street, Medical Lake, Washington |
Authorized Official Name and Position | Jane-frances Ifeoma Akpamgbo (OWNER/PRESIDENT) |
Authorized Official Contact | 5092992858 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ja Medical Center Ps Po Box 1175 Medical Lake WA 99022-1175 Ph: (509) 299-2858 | Ja Medical Center Ps 725 North Stanley Street Suite A Medical Lake WA 99022-8819 Ph: (509) 299-2858 |
NPI Number | 1467494229 |
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Provider Enumeration Date | 06/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467494229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00042028 (Washington) | Primary |
Regenerative Medicine Institute, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 N Stanley St, Medical Lake, WA 99022 Phone: 509-299-6900 Fax: 509-351-2818 |