| NPI | 1265614523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM NAFICY Director 425-450-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA HC00140296) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-02-19 |