| NPI | 1548624455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LEE Owner 509-579-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA NT60606135) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |