| NPI | 1497017974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATHA GBEDAWO Owner/ Manager/ Member 206-518-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT00001229) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |