| NPI | 1649590514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL RENEE POGUE Certified Pedorthist 206-223-7531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA CPed3254) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |