| NPI | 1629113956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VUTHY LENG Owner 253-838-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 00044823) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00044823) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-02-06 |