NPI | 1538349030 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCIEN T MEGNA Presidient / CEO 509-628-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: WA WA00034155) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2018-06-21 |