| NPI | 1801933858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA ELIZABETH ZENDEJAS Billing COO Rdinator 509-663-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-07-21 |