| NPI | 1255520748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA FITZSIMMONS Office Manager 509-946-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00034515) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |