| NPI | 1275295164 |
|---|---|
| Doing Business As | FISHERS LANDING PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | L KATHERINE MOON Owner 360-816-0277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-02-06 |