NPI | 1336876747 |
---|---|
Doing Business As | ONE COLLECTIVE |
Entity Type | Organization |
Authorized Contact | DONNA L ELAM Owner/CEO 360-561-3098 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2022-08-04 |
Last Update Date | 2022-08-04 |