THOMAS CARMINE VANDEVEN

MOUNT VERNON, WA
NPI1972859114
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  60297543)
Enumeration Date2012-07-25
Last Update Date2013-08-26
Business Address
DR. THOMAS CARMINE VANDEVEN D.O.
819 S 13TH ST SRC RESIDENCY CLINIC
MOUNT VERNON, WA 98274-4112
Phone number: 360-814-6230
Mailing Address
DR. THOMAS CARMINE VANDEVEN D.O.
819 S 13TH ST
MOUNT VERNON, WA 98274-4112
Phone number: 360-814-6230
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