| NPI | 1588907158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M DEOLIVEIRA Owner 206-713-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60410654) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-09-12 |