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Organization
WHITE RIVER FAMILY CARE LLC
Active
Organization
WHITE RIVER FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY JANE KRUIZENGA (OFFICE MANAGER)
(360) 829-0625
Entity
Organization
Contact information
Practice address
305 N.RIVER AVE., BUCKLEY, WA 98321
(360) 829-0625
(360) 829-9860
Mailing address
PO BOX 1268, BUCKLEY, WA 98321
(360) 829-0625
(360) 829-9860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
10/04/2018
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