| NPI | 1639580111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MA LU Administrator 509-214-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 163W00000X Registered Nurse | |
| 171R00000X Interpreter | |
| 171100000X Acupuncturist | |
| 251E00000X Home Health | |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-10-04 |