| NPI | 1477756831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JAYNE MABREY JOHNSON President 509-590-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007476) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2008-01-02 |