| NPI | 1730456971 |
|---|---|
| Doing Business As | PACIFIC SURGICAL WEIGHT LOSS CENTER, PLLC |
| Entity Type | Organization |
| Authorized Contact | JACKIE HENDERSON Insurance Staff 360-412-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00036124) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |