| NPI | 1174041008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYNA SWAYZER SWAYZER Adminstrator 253-278-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA AP30006085) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |