Mazimo Azucena Afh
Mazimo Azucena Afh is an Exclusive Provider Organization in Everett, Washington. Licensed in Washington. Registered with an NPI since 2014.
- Licensed in
- WA
- In the registry since
- 2014
Practice location Address checks out
10522 19th Pl WEverett, WA 98204-3663
Phone: (425) 322-5328
Fax: (425) 322-5328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 751038 (WA) |
|---|
Record details
| NPI number | 1205230489 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maximo Azucena — Provider · (425) 322-5328 |
| NPI enumerated | October 16, 2014 |
| Last updated in NPPES | October 16, 2014 |
| Mailing address | 10522 19th Pl W, Everett, WA 98204-3663 |
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