| NPI | 1831374719 |
|---|---|
| Doing Business As | HEALTHY LIFE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GARY ROBERT WINEBRENNER President 360-213-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA ch00034321) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |