Rediclinic of Wa, LLC
NPI #1528445160 in Puyallup, Washington
Provider Information
- NPI Number
- 1528445160
- 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
- 9502 176TH ST E
- City
- Puyallup
- State
- Washington
- ZIP Code
- 98375-9300
- 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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