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Organization

WASHINGTON NEURO DIAGNOSTIC'S INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HEATHER FERMAN (EXECUTIVE DIRECTOR)
(818) 425-7374
Entity
Organization

Contact information

Practice address
409 S 12TH AVE, YAKIMA, WA 98902-3140
(818) 425-7374
(818) 762-0968
Mailing address
11109 HARTSOOK ST, N HOLLYWOOD, CA 91601-3830
(818) 425-7374
(818) 762-0968

Taxonomy

Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0210400
PROVIDER DEPT OF LNI
WA
Enumeration date
05/21/2007
Last updated
08/22/2020
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