NPI | 1508048091 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRENCE EUGENE HESS Doctor/Owner 360-754-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA PO00000517) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2008-03-31 |