Organization
LEANDRO T. CABANILLA, MD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANDRO T. CABANILLA MD (OWNER AND PRESIDENT)
(509) 585-5340
Entity
Organization
Contact information
Practice address
216 W 10TH AVE., STE. 204, KENNEWICK, WA 99336
(509) 585-5340
(509) 585-5341
Mailing address
216 W 10TH AVE., STE. 204, KENNEWICK, WA 99336
(509) 585-5340
(509) 585-5341
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MD00032181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122266
—
WA
Enumeration date
03/27/2007
Last updated
08/22/2020
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