QUACHITA DIALYSIS
Ambulatory Health at Pacific Ave, Tacoma, WA

License number
Washington 04D0642138
Category
Ambulatory Health
Type
End-Stage Renal Disease (ESRD) Treatment
License number
Washington 1932443298
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
1900 Malvern Ave STE 102, Hot Springs, AR 71901
National Provider ID: 1841618931
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Ambulatory Health licenses in Washington