| NPI | 1669918876 |
|---|---|
| Doing Business As | KALA CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBBIE FOUNTAIN Clinic Operations Manager 360-344-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |