| NPI | 1356104863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RATKOVIAK RN Fa 360-831-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-13 |