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Organization (NPI-2) Active

Health Maintenance Organization

Provider Information

NPI Number
1992122790
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
9400 S 200TH ST, KENT, WA, 980311434
Phone
(253) 854-3206
Fax
(253) 854-3206

Specialties & Taxonomies

Health Maintenance Organization Primary License: WA #751004

All Addresses

MAILING

9400 S 200TH ST

KENT, WA, 980311434

(253) 854-3206

LOCATION

9400 S 200TH ST

KENT, WA, 980311434

(253) 854-3206