SOUTHLAKE CLINIC DME

RENTON, WA
NPI1821237488
Entity TypeOrganization
Authorized ContactMARIANNE LARSON
Cheif Operating Officer
425-251-5110
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: WA  600 052 154)
Enumeration Date2009-02-05
Last Update Date2010-05-17
Business Address
SOUTHLAKE CLINIC DME
4033 TALBOT RD S SUITE 500
RENTON, WA 98055-5772
Phone number: 425-251-5110
Mailing Address
SOUTHLAKE CLINIC DME
PO BOX 59028
RENTON, WA 98058-2028
Phone number: 425-251-5110