MAZIMO AZUCENA AFH
Managed Care Organizations at 19 Pl, Everett, WA

License number
Washington 751038
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MAXIMO DIMAUNAHAN AZUCENA
Title: PROVIDER
Phone: (425) 322-5328
Address
Address
10522 19Th Pl W, Everett, WA 98204
National Provider ID: 1205230489
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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