| NPI | 1619215142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUONG THE LUU President 360-260-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 30582) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |