| NPI | 1245566843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELINO BAUTISTA DE LEON President 425-306-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 00022250) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |