| NPI | 1053418525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN ALLISON R.N.F.A. 509-969-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: WA RN00069935) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |