| NPI | 1225489701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAMIDE ADETORO ADEWALE Provider 509-230-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN600034807) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |