Organization
WILLOW BRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOMODOU SOWE (MANAGER)
(202) 507-9826
Entity
Organization
Contact information
Practice address
2311 E DIVISION ST, MOUNT VERNON, WA 98274-4791
(425) 678-3339
Mailing address
PO BOX 214, MUKILTEO, WA 98275-0214
(425) 760-8551
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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