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Central Little Rock Dialysis
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Tacoma, Washington
NPI 1750709838

Central Little Rock Dialysis is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Little Rock, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Central Little Rock Dialysis practices in Tacoma, WA. The NPI Number for Central Little Rock Dialysis is 1750709838 and holds a License No. 04D1004570 (Washington).

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

Location: 1423 Pacific Ave, Tacoma, WA, 72204-2486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750709838
Provider Name
Central Little Rock Dialysis
Credential
Provider Entity Type
Organization
Address
1423 Pacific Ave, Tacoma, WA, 72204-2486
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
150329734 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.
04D1004570 (Arkansas)
Definition
Definition to come...
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