| NPI | 1841492105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUS LAMBERT LAUMANS President 360-705-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00047285) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |