| NPI | 1013232743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATI IRISH Owner 253-942-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP60098624) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-07-08 |