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RIVERVIEW COSMETOGYNECOLOGY PLLC

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Company Details

Legal Name: RIVERVIEW COSMETOGYNECOLOGY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: November 10th 2008
Date of Dissolution: March 31st 2017
Expiration date: 30 Nov 2016
UBI Number: 602 877 910
ZIP code: 99301
City: Pasco
County: FRANKLIN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5908 BEDFORD ST STE B, PASCO, WA, 99301-6605, UNITED STATES

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Registered Agent Information

Name Role Address
TOMAS HERNANDEZ-MEJIA Registered Agent 1631 ELEMENTARY ST, RICHLAND, WA, 99352-0000, UNITED STATES

Key Officers & Management

Name Role Address
TOMAS HERNANDEZ-MEJIA Governing Person 1631 ELEMENTARY ST, RICHLAND, WA, 99352-8617, UNITED STATES
ANA HERNANDEZ Governing Person 1631 ELEMENTARY ST, RICHLAND, WA, 99352-8617, UNITED STATES

National Provider Identifier

NPI Number:
1215299060

Authorized Person:

Name:
DR. TOMAS A HERNANDEZ-MEJIA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5095474881
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