Individual
RAYNALD H IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 339-5444
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A119516
CA
207Q00000X
Family Medicine Physician
Primary
MD60366594
WA
Other
Enumeration date
06/02/2010
Last updated
01/20/2021
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