| NPI | 1811885320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIANA ARIELA ESTRADA RUTO Owner 253-220-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 251E00000X Home Health |
| 175F00000X Naturopath | |
| 253Z00000X In Home Supportive Care | |
| 261QM1000X Clinic/Center Migrant Health | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |