| NPI | 1831306224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDES B MANALOTO-RACSA Doctor 509-547-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00016945) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00014929) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-08-31 |