| NPI | 1275670572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA TRAVELSTEAD Insurance Administrator 425-653-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 601137919) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-09-09 |