| NPI | 1265061170 |
|---|---|
| Other Name | CAMMY LY O.D., LLC |
| Entity Type | Organization |
| Authorized Contact | CAMMY LY Manager / Owner 360-812-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-12-22 |