| NPI | 1205652732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARSHALL Managing Member 253-237-2169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| Enumeration Date | 2024-11-30 |
| Last Update Date | 2025-01-27 |