NPI | 1083054308 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE R VARNS Owner/Member 509-326-6474 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006103) |
Enumeration Date | 2013-07-01 |
Last Update Date | 2013-11-06 |