NPI | 1992041149 |
---|---|
Doing Business As | WEST GLENDALE DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer, Treasurer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 930000942) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2023-07-20 |