NPI | 1578078754 |
---|---|
Entity Type | Organization |
Authorized Contact | YAQUTA PATNI CEO 206-437-2948 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: IL 036106333) |
Enumeration Date | 2017-12-09 |
Last Update Date | 2022-03-07 |