| NPI | 1578762985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L L MCAFEE Owner 360-671-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD00019107) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |