| NPI | 1588091045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL CARMAN Office Manager 360-856-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60401875) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |