| NPI | 1144543414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SALEEM MEMON Owner 360-533-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: WA MD00032913) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |