| NPI | 1528415502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN JOHNSON Massage Practitioner 509-994-8497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |