| NPI | 1275917254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CALDERON Owner 360-996-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60396765) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |