| NPI | 1720329303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORENIA MURPHY Owner / Operator 360-223-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA60173639) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |