| NPI | 1588624795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SALEEM MEMON Dr 360-533-1243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA MD00032913) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |