| NPI | 1053688036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CHI VU Sole Member 509-297-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 60011591) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |