| NPI | 1346664588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA SUKTA Birth Doula 206-779-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 374j00000x) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: WA 11) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2022-07-21 |