Organization
CORNERSTONE PRIMARY CARE, PLLC
Active
Organization
CORNERSTONE PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MAYENO MD (MEMBER)
(425) 255-9310
Entity
Organization
Contact information
Practice address
17900 TALBOT RD S STE 102, RENTON, WA 98055-8212
(425) 255-9310
Mailing address
17900 TALBOT RD S STE 102, RENTON, WA 98055-8212
(425) 255-9310
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD 00023599
WA
Other
Enumeration date
02/13/2015
Last updated
12/30/2015
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