Rediclinic of Wa, LLC

NPI #1861895104 in Bellevue, Washington

Provider Information

NPI Number: 1861895104
Entity Type: Organization
Organization Name: Rediclinic of Wa, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Oct 1, 2014
Last Updated: Oct 1, 2014

Practice Location

Address: 15100 S.E. 38TH STREET
City: Bellevue
State: Washington
ZIP Code: 98006-1763
Phone: (713) 335-1754

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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