NPI | 1700074275 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSY E ANG Psychiaties 253-576-4171 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 0700013011) |
Enumeration Date | 2007-10-10 |
Last Update Date | 2007-10-11 |