| NPI | 1538317797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA WINSTON-HEATH Registered Nurse 253-583-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: WA RN 00065202) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |