| NPI | 1316268584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J JONES Practictioner 360-331-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP300007783) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |