Organization
ROSARIO SKIN CLINIC PC INC
Active
Other names
Rosario Skin Cliniic
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA KLELT CMA (PRACTICE MANAGER)
(360) 336-3026
Entity
Organization
Contact information
Practice address
1600 CONTINENTAL PLACE, SUITE #101, MOUNT VERNON, WA 98273-5607
(360) 336-3026
Mailing address
1600 CONTINENTAL PLACE, SUITE #101, MOUNT VERNON, WA 98273-5607
(360) 336-3026
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
MD00045767
WA
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00046521
WA
Other
Enumeration date
06/01/2006
Last updated
07/22/2014
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