| NPI | 1245404698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA H LOERA Practice Manager 253-835-8979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00014571) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-06-09 |