PULASKI COUNTY DIALYSIS
Ambulatory Health at Pacific Ave, Tacoma, WA

License number
Washington 04D0936604
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
License number
Washington 1376848473
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
Owner
Name: KENT THIRY CHAIRMAN
Title: CEO
Phone: (303) 876-6000
Address
Address 2
1423 Pacific Ave, Tacoma, WA 98402
202 John Harden Dr, Jacksonville, AR 72076
National Provider ID: 1174941181
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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