NPI | 1356812614 |
---|---|
Doing Business As | KALEIDOSCOPE RX |
Entity Type | Organization |
Authorized Contact | RHONDA ROWAN Owner 360-334-9942 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2018-12-16 |
Last Update Date | 2025-03-03 |