NPI | 1518404425 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY JAN BRIGGS Owner 253-780-4930 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP60327305) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2018-07-09 |