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Individual

DR. ROMMEL MONILLAS ENRIQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4069
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-4069

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13462
NV
207R00000X
Internal Medicine Physician
Primary
MD60284880
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD60284880
STATE LICENSE
WA
Enumeration date
06/03/2008
Last updated
11/15/2012
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