| NPI | 1003019142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEG LELAND Officer 360-556-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602726221) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-06-27 |