| NPI | 1619293321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS VILLANUEVA ESTALILLA Owner 360-532-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD 32016) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |