| NPI | 1679178099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERBIE SALVADOR A BARRANTES Owner 253-533-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2021-01-28 |