| NPI | 1518720150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA JEAN GARCIA Nurse Practitioner 509-591-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-10-15 |