# WATERFALLS LONGEVITY CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154863157
- **Authorized official:** DR. MILAGROS AROCHO M.D. (OWNER/DOCTOR)
- **Authorized official phone:** (360) 400-2111

## Contact information

- **Practice address:** 9144 BURNETT RD SE, STE B-3, YELM, WA 98597-8488
- **Practice address phone:** (360) 400-2111
- **Practice address fax:** (360) 400-2112
- **Mailing address:** 9144 BURNETT RD SE, STE B-3, YELM, WA 98597-8488
- **Mailing address phone:** (360) 400-2111
- **Mailing address fax:** (360) 400-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 00046050 | WA | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 11/23/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MD00046050 | PHYSICIAN LICENSE | WA |