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 | 2024-11-30 |