Southlake Clinic Inc., P.s. is a Nurse Practitioner based in Renton, WA. Southlake Clinic Inc., P.s. practices in Renton, WA. The NPI Number for Southlake Clinic Inc., P.s. is 1104962331 and holds a License No. (Washington).
The current practice location address for Southlake Clinic Inc., P.s. is 4011 Talbot Rd S, Renton, WA and can be reached out via phone at 425-251-5110 and via fax at 425-793-4707.
Identifier | Type | State | Issuer |
---|---|---|---|
7072440 | 05 | WA | |
CS3809 | 01 | WA | RR MEDICARE |
0057600 | 01 | WA | L&I |
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