Rediclinic of Wa, LLC

NPI #1588041107 in Bothell, Washington

Provider Information

NPI Number: 1588041107
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: 22631 BOTHELL EVERETT HWY
City: Bothell
State: Washington
ZIP Code: 98021-8401
Phone: (713) 335-1742

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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