| NPI | 1295156990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY R COCHEBA Podiatrist 360-403-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA p0000773) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2013-12-23 |