| NPI | 1093989675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE Y SCHMIDT Office Manager/Billing 253-874-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 601981519) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |