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Organization

RAFAEL MEDICUS CLINIC, CORP.

Active
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Organization

RAFAEL MEDICUS CLINIC, CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GLENN NOEL PADILLA RUIZ (PRESIDENT)
(253) 474-5141
Entity
Organization

Contact information

Practice address
7424 BRIDGEPORT WAY WEST, SUITE 301, LAKEWOOD, WA 98499-8135
(253) 474-5141
(253) 474-5507
Mailing address
7424 BRIDGEPORT WAY WEST, SUITE 301, LAKEWOOD, WA 98499-8135
(253) 474-5141
(253) 474-5507

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00024942
WA

Other

Enumeration date
05/18/2016
Last updated
05/18/2016
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