Lake Wilderness Medical Clinic LLC
NPI #1669647152 in Maple Valley, Washington
Provider Information
- NPI Number
- 1669647152
- Entity Type
- Organization
- Organization Name
- Lake Wilderness Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Apr 25, 2008
- Last Updated
- Apr 25, 2008
Practice Location
- Address
- 26907 MAPLE VALLEY BLACK DIAMOND RD SE
- City
- Maple Valley
- State
- Washington
- ZIP Code
- 98038-8314
- Phone
- (425) 432-9611
Authorized Official
- Name
- DR. CHESTER EDMOND JANGALA JR., MD
- Title
- PHYSICIAN
- Phone
- (425) 432-9611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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