| NPI | 1518157320 |
|---|---|
| Former Legal Business Name | MARWILSON |
| Entity Type | Organization |
| Authorized Contact | JERETHA MARBURY CEO 253-284-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 332B00000X) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |