Integrity Support Services, Llc

NPI 1174812168 - Clinic/Center - 261QR0405X

NPI Details
NPI 1174812168
Enumeration Date 03/30/2011
Last Updated 03/30/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GERARDO GERARDO
Position ADMINISTRATOR
Phone (509) 882-8012
Fax (509) 882-8802
Practice Location
303 DIVISION ST
GRANDVIEW WA, 98930-1358, US
Phone (509) 882-8012
Fax (509) 882-8802
Business Location
303 DIVISION ST
GRANDVIEW WA, 98930-1358, US
Phone (509) 882-8012
Fax (509) 882-8802
Toxanomy
Taxonomy Code 261QR0405X
License State Washington
License Number 39 1532 00
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According to our database, Integrity Support Services, Llc NPI is 1174812168, taxonomy code is 261QR0405X and license number is 39 1532 00, license state is located at Washington. Integrity Support Services, Llc physically located at 303 Division St, Grandview WA, 98930-1358. NPI Number 1033115704 has the healthcare provider type.

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1174812168 NPI number is provided on an as is basis without warranty of any kind. 1174812168 is maintained by the National Plan & Provider Enumeration System. The contents of Integrity Support Services, Llc are for informational purposes only.