| NPI | 1407366891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C TRUONG Owner 509-762-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-07-17 |