Organization
XPSYZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINGMAN HO (PARTNER)
(206) 948-2751
Entity
Organization
Contact information
Practice address
412 CONFEDERATION CT, LINCOLN, CA 95648-7731
(206) 948-2751
Mailing address
412 CONFEDERATION CT, LINCOLN, CA 95648-7731
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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