| NPI | 1316138696 |
|---|---|
| Doing Business As | COUNTRY DOCTOR CLINIC-MATERNAL SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHONNIE EVANS Qi Manager 206-299-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2008-06-25 |