| NPI | 1770013443 |
|---|---|
| Doing Business As | FAMILY FOOT CENTER |
| Entity Type | Organization |
| Authorized Contact | TRENA LUNDSTROM Manager 509-924-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ID P-224) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 6011706837) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |