| NPI | 1275657819 |
|---|---|
| Other Name | HOLLY PARK MEDICAL & DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | HERMES SHAHBAZIAN CFO 206-788-3618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-03-29 |