| NPI | 1447525621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORREN R NEGRIN Dietitian 425-998-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 60083621) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |