| NPI | 1588378533 |
|---|---|
| Doing Business As | PANTHER LAKE |
| Entity Type | Organization |
| Authorized Contact | KELSIE MARIE JAS Director Of Revenue Cycle 206-720-8819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-13 |