Organization
HEALTH & WELLNESS ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDSTON STEVENS D.M.D. (PRESIDENT)
(509) 837-7818
Entity
Organization
Contact information
Practice address
922 E. EDISON AVENUE, 922 E. EDISON AVE., SUNNYSIDE, WA 98944
(509) 837-7818
(509) 837-7415
Mailing address
PO BOX 127, SUNNYSIDE, WA 98944
(509) 837-7818
(509) 837-7415
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
4259
WA
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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