NPI | 1518470137 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MCMAHAN Office Mgr 509-838-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30007917) |
Enumeration Date | 2017-11-06 |
Last Update Date | 2017-11-06 |