NPI | 1790087278 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD DON ANDERSON Owner 509-962-8008 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA CH00034692) |
Enumeration Date | 2010-12-03 |
Last Update Date | 2024-02-05 |