NICHOLAS HASANDRAS

MOUNT VERNON, WA
NPI1467808428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MT  78149)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-05-09
Last Update Date2019-11-07
Business Address
NICHOLAS HASANDRAS D.O.
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-814-2115
Mailing Address
NICHOLAS HASANDRAS D.O.
1415 E KINCAID ST
MOUNT VERNON, WA 98274-4126
Phone number: 360-814-2115