| NPI | 1801912373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDURAHMAN WARSAMA JAMA Owner 206-384-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WA IS145) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |