| NPI | 1518375880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAISTA A QUDDUSI President 253-880-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD00032808) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-11-24 |