| NPI | 1437541620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI BOTTLES Owner 360-445-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WA RN00110231) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |