| NPI | 1689116691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN DAHAN F.A.A.P. 253-848-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 60705836) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |