| NPI | 1760473581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY G. GRACIA Pediatric Nurse Practitioner 360-475-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: TX 525473) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2008-08-13 |