| NPI | 1598120206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMAN K AWLA Owner 360-568-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: WA DE60384654) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |