| NPI | 1134610439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS EYMARD JAVIER A RN P 253-584-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60594033) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |