| NPI | 1770767477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINHILD AYOUB Owner/Practitioner 360-274-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 601 929 001 11) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-11-25 |