| NPI | 1407181217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNRENEE CINOCCO Owner/Physician 360-882-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OR MD 28325) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |