| NPI | 1336254051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO A VELASCO Medical Provider/Owner 206-723-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00022120) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |