| NPI | 1407217698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH KENOYER Owner/Manager 360-715-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |