| NPI | 1245630979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFREN CARATAO, JR. Business Owner 253-852-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WA MD 00028063) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-11-03 |