institution
Qualicenters Inland Northwest L.l.c.
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Walla Walla, Washington
NPI 1811009616

Qualicenters Inland Northwest L.l.c. is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Walla Walla, WA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Qualicenters Inland Northwest L.l.c. practices in Walla Walla, WA. The NPI Number for Qualicenters Inland Northwest L.l.c. is 1811009616 and holds a License No. (Washington).

The current practice location address for Qualicenters Inland Northwest L.l.c. is 135 Avery St, Walla Walla, WA and can be reached out via phone at 509-676-5400 and via fax at 509-593-3370.

Location: 135 Avery St, Walla Walla, WA, 99362-1669
institution
Provider Profile Details
NPI Number
1811009616
Provider Name
Qualicenters Inland Northwest L.l.c.
Credential
Provider Entity Type
Organization
Address
135 Avery St, Walla Walla, WA, 99362-1669
Phone Number
509-676-5400
Fax Number
509-593-3370
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
50-2517 01 WA PTAN
institution
Provider Business Practice Location Address Details
Address
135 Avery St
City
State
Zip
99362-1669
Phone Number
509-676-5400
Fax Number
509-593-3370
person
Provider Business Mailing Address Details
Address
135 Avery St
City
State
Zip
99362-1669
Phone Number
509-676-5400
Fax Number
509-593-3370
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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