| NPI | 1396614566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES ANDAL MARAMBA Dnp, Owner 253-600-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |