MIGUEL DORTA

PASCO, WA
NPI1881321917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: WA  MDCE.ML.70116274)
Enumeration Date2022-08-08
Last Update Date2026-06-26
Business Address
MIGUEL DORTA
4605 ROAD 68
PASCO, WA 99301-9366
Phone number: 509-567-6450
Mailing Address
MIGUEL DORTA
4605 ROAD 68
PASCO, WA 99301-9366
Phone number: 509-567-6450
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