| NPI | 1295006187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY B CAMERON Owner/Provider 253-536-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP300003906) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |