| NPI | 1659136604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ALFONSO ALANIS CFO/Treasurer 206-390-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |