NPI | 1174947204 |
---|---|
Doing Business As | WEST SIDE DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2014-02-10 |
Last Update Date | 2021-04-14 |