NPI | 1659780120 |
---|---|
Doing Business As | AVALON DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550003039) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2023-01-05 |