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Organization
RIVERVIEW COSMETOGYNECOLOGY PLLC
Active
Organization
RIVERVIEW COSMETOGYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMAS A HERNANDEZ-MEJIA MD (MEDICAL DIRECTOR)
(509) 547-4724
Entity
Organization
Contact information
Practice address
5908 BEDFORD ST, SUITE D, PASCO, WA 99301-6605
(509) 545-2118
(509) 547-4881
Mailing address
5908 BEDFORD ST, SUITE D, PASCO, WA 99301-6605
(509) 545-2118
(509) 547-4881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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