| NPI | 1629694864 |
|---|---|
| Doing Business As | CAROL J WORKMAN |
| Entity Type | Organization |
| Authorized Contact | FRANCES M LANGAN Clinic Manager 360-253-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |