| NPI | 1033062468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVAN KRISHTAN MARTIN Councler 253-508-4940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |