| NPI | 1053417675 |
|---|---|
| Doing Business As | RANIER BEACH MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | PRUDENCIO GALVEZ TIBLE President 206-725-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |