| NPI | 1235517236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA DENEEN SMITH Licenced Massage Practitioner/ Spa 253-330-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: WA MA60247742) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: WA MA60247742) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |