NPI | 1548641616 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA BELCASTER Owner 360-920-4328 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP60112444) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-06-15 |