| NPI | 1447773528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN OJEDA Owner 509-330-5539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT60749831) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |