| NPI | 1073911673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONI K SHULTZ Owner/Lmp 509-679-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA MA6039965) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |