NPI | 1629253828 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD IRA LEVINE Managing Director 425-455-0332 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: WA CH2630) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2008-05-20 |