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Organization
ROSARIO SKIN CLINIC PC INC
Active
Organization
ROSARIO SKIN CLINIC PC INC
Active
Other names
Rosario Skin Cliniic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA KLELT CMA (PRACTICE MANAGER)
(360) 336-3026
Entity
Organization
Contact information
Practice address
1600 CONTINENTAL PLACE, SUITE #101, MOUNT VERNON, WA 98273-5607
(360) 336-3026
Mailing address
1600 CONTINENTAL PLACE, SUITE #101, MOUNT VERNON, WA 98273-5607
(360) 336-3026
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
MD00045767
WA
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00046521
WA
Other
Enumeration date
06/01/2006
Last updated
07/22/2014
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