104TH AVENUE MEDICAL CLINIC INCORPORATED
Clinic/Center · KENT, WA
Organization Active NPI 1396921326
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | ✓ | 37861 | WA |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.