| NPI | 1649553538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA YEPRAKSIA BOSTANJIAN Owner 425-697-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60039274) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |