NPI | 1184884108 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC Y VAN DRIESSCHE Owner 425-290-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA CH00003284) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2008-06-12 |