| NPI | 1699284935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MELINDA ZAMORA Owner 360-719-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA 604-160-120) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2018-06-01 |