| NPI | 1508134792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADIE CHRISTINE ARANA-DOMONDON Owner CEO 253-209-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: WA MD00034362) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty (Licence: WA MD00034362) |
| 261QU0200X Clinic/Center Urgent Care (Licence: WA MD00034362) | |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2015-05-15 |