NPI | 1679970925 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN A RUSSO Part Owner 206-658-3920 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: WA LH60320548) |
Additional Taxonomies | 251S00000X (Licence: WA LH60500437) |
Enumeration Date | 2014-12-02 |
Last Update Date | 2014-12-02 |