| NPI | 1013231695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL BALDERRAMA Jail Medical Director 253-798-7402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA10001047) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |