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Individual

JOSE EMILIO CARDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Mailing address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00018204
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1617505
WA
01
18568
LABOR & INDUSTRY
WA
Enumeration date
10/18/2006
Last updated
07/08/2007
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