| NPI | 1194107847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHENBO LI Owner 360-798-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA AC00002855) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |