RUSSELL W FARIA DO PC

KENT, WA
NPI1457521619
Entity TypeOrganization
Authorized ContactTRISH BUKAUSKAS
Billing Mgr
843-293-9966
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  D020354)
Enumeration Date2008-03-04
Last Update Date2008-03-04
Business Address
RUSSELL W FARIA DO PC
15215 SE 272ND ST STE 103
KENT, WA 98042-4215
Phone number: 253-639-1883
Mailing Address
RUSSELL W FARIA DO PC
15215 SE 272ND ST STE 103
KENT, WA 98042-4215
Phone number: 253-639-1883
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