NPI | 1275756058 |
---|---|
Doing Business As | BIGROCK HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | KATHLEEN LOUISE ALVES President 360-357-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30003042) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |