104TH AVENUE MEDICAL CLINIC INCORPORATED

KENT, WA
NPI1396921326
Entity TypeOrganization
Authorized ContactRANU CHOUDHARY
Vice President
253-859-8371
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: WA  37861)
Enumeration Date2008-01-22
Last Update Date2014-10-01
Business Address
104TH AVENUE MEDICAL CLINIC INCORPORATED
24604 104TH AVE SE # 202
KENT, WA 98030-5385
Phone number: 253-859-8371
Mailing Address
104TH AVENUE MEDICAL CLINIC INCORPORATED
24604 104TH AVE SE # 202
KENT, WA 98030-5385
Phone number: 253-859-8371
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