| NPI | 1538400031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEAL BOOHER VITALIS Owner 253-630-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA ch00002179) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |