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13030 Military Rd S Suite 210 Tukwila WA 98168-3085 | |
(206) 242-6500 | |
(206) 246-7946 |
Full Name | |
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Speciality | Family Medicine |
Location | 13030 Military Rd S, Tukwila, Washington |
Authorized Official Name and Position | Vickie D Jimenez (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2064394887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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13030 Military Rd S Suite 210 Tukwila WA 98168-3085 Ph: (206) 242-6500 | 13030 Military Rd S Suite 210 Tukwila WA 98168-3085 Ph: (206) 242-6500 |
NPI Number | 1316298789 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 09/26/2012 |
Identifier | Type | State | Issuer |
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1316298789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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