| NPI | 1003946914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAIRUNNISSA RAJWANI President 253-951-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00041861) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |