| NPI | 1023289329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THU V LE Owner 253-627-6128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00021181) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00021181) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |