| At Your Home Primary Care, Inc. | |
|
3922 113th Ave Se Snohomish WA 98290-5589 | |
| (425) 299-2170 | |
| Not Available |
| Full Name | At Your Home Primary Care, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3922 113th Ave Se, Snohomish, Washington |
| Authorized Official Name and Position | Kimberly Ruth Poppe (PRESIDENT) |
| Authorized Official Contact | 4252992170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| At Your Home Primary Care, Inc. Po Box 126 Snohomish WA 98291-0126 Ph: (425) 299-2170 | At Your Home Primary Care, Inc. 3922 113th Ave Se Snohomish WA 98290-5589 Ph: (425) 299-2170 |
| NPI Number | 1457618704 |
|---|---|
| Provider Enumeration Date | 04/11/2012 |
| Last Update Date | 04/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457618704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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