| NPI | 1497270151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ANNE MERKLIN Owner 360-609-8343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA MA60288718) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |