| Sand Medical Clinic | |
|
7720 190th Ave E Bonney Lake WA 98391-7010 | |
| (253) 374-5183 | |
| Not Available |
| Full Name | Sand Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7720 190th Ave E, Bonney Lake, Washington |
| Authorized Official Name and Position | Samwel Mbua (GOVERNOR) |
| Authorized Official Contact | 2063560906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sand Medical Clinic 7720 190th Ave E Bonney Lake WA 98391-7010 Ph: (253) 374-5183 | Sand Medical Clinic 7720 190th Ave E Bonney Lake WA 98391-7010 Ph: (253) 374-5183 |
| NPI Number | 1407687965 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407687965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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