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Mena Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tacoma, Washington
NPI 1124446208

Mena Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Mena, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Mena Dialysis practices in Tacoma, WA. The NPI Number for Mena Dialysis is 1124446208 and holds a License No. 04D1075322 (Washington).

The current practice location address for Mena Dialysis is 1423 Pacific Ave, Tacoma, WA and can be reached out via phone at 253-382-1752.

Location: 1423 Pacific Ave, Tacoma, WA, 71953-5516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124446208
Provider Name
Mena Dialysis
Credential
Provider Entity Type
Organization
Address
1423 Pacific Ave, Tacoma, WA, 71953-5516
Phone Number
253-382-1752
Fax Number
Provider Enumeration Date
04/04/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
167685134 05 AR
institution
Provider Business Practice Location Address Details
Address
1423 Pacific Ave
City
Tacoma
State
Washington
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
person
Provider Business Mailing Address Details
Address
1423 Pacific Ave
City
Tacoma
State
Washington
Zip
98402-4203
Phone Number
253-382-1752
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
04D1075322 (Arkansas)
Definition
Definition to come...
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