Individual
AYDIN ALIMOVICH CHAKHALIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15245 INTERNATIONAL BLVD. SUITE 210, SEATAC, WA 98188
(206) 923-7600
(206) 923-7601
Mailing address
14239 S 34TH AVE #301, TUKWILA, WA 98168
(206) 218-2972
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 60141116
WA
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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