| NPI | 1356525901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIPRIANO C GARCIA Nurse Practitioner 509-830-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 601993286) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |