| NPI | 1326412867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE BROOKS Owner 425-882-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA MA60606643) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |