| NPI | 1578094041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SMITH Program Director 253-441-4742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2017-03-25 |