Organization
MARINE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN SIMON (PRESIDENT)
(206) 459-7127
Entity
Organization
Contact information
Practice address
400 NW GILMAN BLVD, #1413, ISSAQUAH, WA 98027
(206) 459-7127
(425) 821-4669
Mailing address
400 NW GILMAN BLVD, #1413, ISSAQUAH, WA 98027
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Enumeration date
07/31/2008
Last updated
07/24/2013
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