NPI | 1033183397 |
---|---|
Doing Business As | WHITE LANE DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 2400860) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2023-05-24 |