Mazimo Azucena Afh
NPI #1205230489 in Everett, Washington
Provider Information
- NPI Number
- 1205230489
- Entity Type
- Organization
- Organization Name
- Mazimo Azucena Afh
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 16, 2014
- Last Updated
- Oct 16, 2014
Practice Location
- Address
- 10522 19TH PL W
- City
- Everett
- State
- Washington
- ZIP Code
- 98204-3663
- Phone
- (425) 322-5328
Authorized Official
- Name
- MAXIMO DIMAUNAHAN AZUCENA
- Title
- PROVIDER
- Phone
- (425) 322-5328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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