| NPI | 1083063960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE WANG Office Manager 425-941-0558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WA MA60306414) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |