| NPI | 1689392797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZELINE VILLARUZ GUMIRAN-ALEJANDRO A RN P 206-372-2960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |