| NPI | 1659137115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANNE MENDOZA Owner 509-430-6405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2025-02-11 |