Individual
COLLIN T DELA HOUSSAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274
(360) 848-4150
(360) 848-4169
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OP60947586
WA
Other
Enumeration date
05/02/2014
Last updated
11/02/2021
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