| NPI | 1134520463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDU CODREANU Owner/Provider 509-638-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA A752165) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |