| NPI | 1619756350 |
|---|---|
| Other Name | MARINA PARK PLASTICS ASC |
| Entity Type | Organization |
| Authorized Contact | EILEEN FAY WEST Practice Administrator 425-655-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |