| NPI | 1215528625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI D ELLIOTT Co Owner 253-202-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-12-27 |