| NPI | 1649607532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNNY JG BHASKARAN Medical Director 509-248-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA BL-013586) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |