| NPI | 1417603739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JELYN ENGELHARDT-PARALES Owner 253-921-8109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |