| NPI | 1215990924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANFRED HENNE Owner/Member 360-598-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist (Licence: WA MD00025231) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-02-21 |