NPI | 1194049510 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON LEE BERREMAN President/A RN P 509-248-4303 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA AP30006105) |
Enumeration Date | 2010-03-15 |
Last Update Date | 2023-01-16 |