| NPI | 1669719522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ZANE HUPPIN Owner 206-344-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: WA PO00000435) |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2013-01-12 |