Organization
PEDIATRICS FOR YOU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY MATTA (CLINIC MANAGER)
(509) 572-2201
Entity
Organization
Contact information
Practice address
6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 99336-7684
(509) 572-2201
(509) 783-8844
Mailing address
6802 W RIO GRANDE AVE STE 1, KENNEWICK, WA 99336-7684
(509) 572-2201
(509) 783-8844
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
602709835
WA
Other
Enumeration date
08/14/2007
Last updated
10/15/2020
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