Rediclinic of Wa, LLC
NPI #1588060974 in Kenmore, Washington
Provider Information
- NPI Number
- 1588060974
- Entity Type
- Organization
- Organization Name
- Rediclinic of Wa, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Nov 12, 2014
- Last Updated
- Nov 12, 2014
Practice Location
- Address
- 18022 68TH AVENUE NE
- City
- Kenmore
- State
- Washington
- ZIP Code
- 98028-2702
- Phone
- (713) 335-1754
Authorized Official
- Name
- DANIELLE BARRERA
- Title
- CHIEF OPERATING OFFICER
- Phone
- (713) 580-9489
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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