| NPI | 1427459254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MASIAS Office Manager 509-527-5281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |