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Organization
WATERFALLS LONGEVITY CENTER PLLC
Active
Organization
WATERFALLS LONGEVITY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAGROS AROCHO M.D. (OWNER/DOCTOR)
(360) 400-2111
Entity
Organization
Contact information
Practice address
9144 BURNETT RD SE, STE B-3, YELM, WA 98597-8488
(360) 400-2111
(360) 400-2112
Mailing address
9144 BURNETT RD SE, STE B-3, YELM, WA 98597-8488
(360) 400-2111
(360) 400-2112
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
00046050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00046050
PHYSICIAN LICENSE
WA
Enumeration date
11/08/2016
Last updated
11/23/2016
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