NPI Provider: 1235482407
Contact Name: LAFORTE J. STEPHEN
Position: MANAGER
Phone: (253) 277-3197
Videll Healthcare Camden, L.l.c. Information:
Videll Healthcare Camden, L.l.c. organization have npi 1235482407, taxonomy code is 310400000X with license number is in . This Business address located in 16400 SOUTHCENTER PKWY STE 208, TUKWILA, WA 98188 Washington.
Practice Location
Address: 16400 SOUTHCENTER PKWY STE 208, TUKWILA, WA 98188
Phone: (253) 277-3197
Business Location
Address: 16400 SOUTHCENTER PKWY STE 208, TUKWILA, WA 98188
Phone: (253) 277-3197
Taxonomy
Taxonomy Code: 310400000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 10/24/2012
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