| NPI | 1699119123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNN HOSEY Registered Nurse 509-865-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA RN60065570) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |