| NPI | 1033419221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELSBETH JOHANN Family Nurse Practitioner, Bc 425-876-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA UBI 603 043 924) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |