| NPI | 1578869913 |
|---|---|
| Doing Business As | PROVIDENCE FAMILY MEDICINE NORTH PINES VALLEY |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 600503827) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-18 |