| NPI | 1396135794 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | NINFA EVALOBO BALANGUE Registered Nurse/Nurse Delagator 360-915-6549 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00102147) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |