| NPI | 1659461341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C MENDIOLA Owner 360-923-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA OT00000867) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA OT00003444) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-12-08 |