| NPI | 1558147298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN ROGGE CEO 425-308-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-01-08 |