| NPI | 1285174813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUBILEE PEARL MATTIX Nurse Practitioner 360-201-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60703570) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |