| Water's Edge Family Practice & Wellness Center | |
|
221 Second Street Langley WA 98260 | |
| (360) 221-1060 | |
| (360) 221-1062 |
| Full Name | Water's Edge Family Practice & Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Second Street, Langley, Washington |
| Authorized Official Name and Position | Annastasia Kovscek (OWNER) |
| Authorized Official Contact | 3602211060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water's Edge Family Practice & Wellness Center Po Box 1327 Langley WA 98260-1327 Ph: (360) 221-1060 | Water's Edge Family Practice & Wellness Center 221 Second Street Langley WA 98260 Ph: (360) 221-1060 |
| NPI Number | 1336584119 |
|---|---|
| Provider Enumeration Date | 05/07/2013 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336584119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60091880 (Washington) | Primary |
Sureguard Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5391 Maxwelton Rd, Langley, WA 98260 Phone: 713-703-8642 |