| NPI | 1104849058 |
|---|---|
| Doing Business As | WASHTUCNA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | VICKY LOUISE JOHNSON Clinic Manager 509-659-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-04-17 |