| NPI | 1225141989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTONIO BECERRIL Owner 425-772-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA WA 00021300) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-07-21 |