| NPI | 1255603874 |
|---|---|
| Other Name | GLENN A. PACIO |
| Entity Type | Organization |
| Authorized Contact | GLENN A PACIO Owner 253-474-7100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD000380965) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-02-16 |