| NPI | 1225364631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ENE-STROESCU Provider/Owner 253-445-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00042031) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |