| NPI | 1154186781 |
|---|---|
| Doing Business As | PREMIER LIPEDEMA CLINIC |
| Entity Type | Organization |
| Authorized Contact | R DANIEL HAGERTY President 509-904-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |