| NPI | 1639617038 |
|---|---|
| Former Legal Business Name | TRINITY FAMILY MEDICAL CLINIC PS, INC |
| Entity Type | Organization |
| Authorized Contact | EUGENIA D GURAY Owner 253-881-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00042936) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2024-04-01 |