| NPI | 1942967393 |
|---|---|
| Doing Business As | LAKE STEVENS ANKLE AND FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | SOPHINA Y NUNEZ Vice President 425-778-5666 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2022-01-19 |