| NPI | 1558408104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JANE M OXANDABOURE Billing Supervisor 509-462-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA L0636336) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-11-24 |