| Ja Medical Center Ps | |
|
725 North Stanley Street Suite A Medical Lake WA 99022-8819 | |
| (509) 299-2858 | |
| (509) 299-2868 |
| Full Name | Ja Medical Center Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 725 North Stanley Street, Medical Lake, Washington |
| Authorized Official Name and Position | Jane-frances Ifeoma Akpamgbo (OWNER/PRESIDENT) |
| Authorized Official Contact | 5092992858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ja Medical Center Ps Po Box 1175 Medical Lake WA 99022-1175 Ph: (509) 299-2858 | Ja Medical Center Ps 725 North Stanley Street Suite A Medical Lake WA 99022-8819 Ph: (509) 299-2858 |
| NPI Number | 1467494229 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467494229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00042028 (Washington) | Primary |
Regenerative Medicine Institute, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 N Stanley St, Medical Lake, WA 99022 Phone: 509-299-6900 Fax: 509-351-2818 |