NPI | 1508068800 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDEN MANAWADU CEO 509-946-3340 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 50C0001170) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2013-05-24 |