| NPI | 1518047620 |
|---|---|
| Doing Business As | FAIRWOOD VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | EDWARD M KOSNOSKI Owner 253-852-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-08-19 |