Rediclinic of Wa, LLC

NPI #1073990610 in Bonney Lake, Washington

Provider Information

NPI Number
1073990610
Entity Type
Organization
Organization Name
Rediclinic of Wa, LLC
Primary Specialty
Clinic/Center
Enumeration Date
May 4, 2015
Last Updated
May 4, 2015

Practice Location

Address
21302 STATE ROUTE 410 E
ZIP Code
98391-8468
Phone
(713) 335-1742

Authorized Official

Name
DANIELLE BARRERA
Title
CHIEF OPERATING OFFICER
Phone
(713) 580-9489

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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