| NPI | 1326463381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARYSA KRISHCHUK Owner 253-740-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA MA00025381) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-02-28 |