Organization
GENEROSO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARVI MALLARI GENEROSO MD (PHYSICIAN OWNER)
(360) 800-9480
Entity
Organization
Contact information
Practice address
23 COWLITZ W, CASTLE ROCK, WA 98611
(872) 395-1626
Mailing address
PO BOX 1163, CASTLE ROCK, WA 98611-1163
(360) 800-9480
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
08/09/2022
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