Videll Healthcare Mercer Island, L.l.c.

NPI Provider: 1326391582
Contact Name: LAFORTE J. STEPHEN
Position: MANAGER
Phone: (253) 277-3197

Videll Healthcare Mercer Island, L.l.c. Information:

Videll Healthcare Mercer Island, L.l.c. organization have npi 1326391582, 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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