| NPI | 1790326502 |
|---|---|
| Doing Business As | BLAZING GRACE NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | OBIOMA NNAMDI ONUORAH Administrator/Physician 509-578-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |