| NPI | 1285751990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALFILER VELASCO Owner 206-723-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 601257491) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |