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General NPI Number Information
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NPI Number | 1093728800
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Entity Type | Organization
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Legal Business Name | SITTILERK TRIKALSARANSUKH
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 7114 W HOOD PL
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City | KENNEWICK
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State | WA
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Zip | 99336-6712
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Country | US
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Telephone | 509-734-4885
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Fax | 509-734-2576
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Provider Business Mailing Address
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Address Line | 7114 W HOOD PL
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City | KENNEWICK
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State | WA
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Zip | 99336-6712
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Country | US
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Telephone | 509-734-4885
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Fax | 509-734-2576
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | JANE M SILVEY
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Credential |
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Telephone | 509-734-4885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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