| NPI | 1649415720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN WINNIFRED MILLER A RN P 253-862-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 910565571) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |