| NPI | 1124066675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE ANDREA MINISH Certified Registered Nurse First As 360-531-0951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN000056165) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |