| NPI | 1457742280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA JEAN BOWLES Owner 253-572-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: WA MA00019264) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |