NPI | 1053550699 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLIE LAMB ROWLES Sole Owner 509-888-3828 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA 602-881-774) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2009-02-05 |