Organization
FEDERAL WAY PRIMARY CARE, LLC
Active
Other names
Estrelino Velasco, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTRELINO D VELASCO M.D. (MEMBER)
25358384500
Entity
Organization
Contact information
Practice address
34617 11TH PLACE S, SUITE 202, FEDERAL WAY, WA 98003-8706
(253) 838-4500
Mailing address
34617 11TH PLACE S., SUITE 202, FEDERAL WAY, WA 98003-8706
(253) 838-4500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00040660
WA
Other
Enumeration date
09/04/2007
Last updated
10/17/2007
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