| NPI | 1285724831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL ELIZABETH GONZALEZ Owner 425-917-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00034325) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |