Winlock Pediatrics Llc | |
2341 Ne Winlock Way Poulsbo WA 98370-9258 | |
(470) 733-0321 | |
Not Available |
Full Name | Winlock Pediatrics Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 2341 Ne Winlock Way, Poulsbo, Washington |
Authorized Official Name and Position | Violeta M Gomez (OWNER) |
Authorized Official Contact | 4707330321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Winlock Pediatrics Llc 2341 Ne Winlock Way Poulsbo WA 98370-9258 Ph: (470) 733-0321 | Winlock Pediatrics Llc 2341 Ne Winlock Way Poulsbo WA 98370-9258 Ph: (470) 733-0321 |
NPI Number | 1033830161 |
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Provider Enumeration Date | 09/07/2022 |
Last Update Date | 09/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033830161 | NPI | - | NPPES |
60912725 | Other | WA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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