Organization
SAND MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMWEL MBUA ARNP (GOVERNOR)
(206) 356-0906
Entity
Organization
Contact information
Practice address
7720 190TH AVE E, BONNEY LAKE, WA 98391-7010
(253) 374-5183
Mailing address
7720 190TH AVE E, BONNEY LAKE, WA 98391-7010
(253) 374-5183
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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