Individual
MR. ABRAHAM MIRAMONTES HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WSU INTERNAL MEDICINE RESIDENCY CENTER, 1321 COLBY AVENUE #B3-039, EVERETT, WA 98201-1665
(425) 297-5234
Mailing address
1321 COLBY AVENUE SUITE B400, EVERETT, WA 98201
(425) 297-5234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML61565267
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/09/2024
Last updated
02/24/2025
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