| NPI | 1104223759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN LEDESMA Owner 206-632-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 2609) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |