NPI | 1215249941 |
---|---|
Former Legal Business Name | YARROW BAY PLASTIC SURGERY CENTER, LLC |
Entity Type | Organization |
Authorized Contact | DANIEL JAMES LIEBERTZ Owner 425-822-0300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2010-07-10 |
Last Update Date | 2022-10-07 |