| NPI | 1841034055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LEMIRE Pa C 509-438-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-08-26 |