| NPI | 1215299060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS A HERNANDEZ-MEJIA Medical Director 509-547-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |