NPI | 1851341077 |
---|---|
Former Legal Business Name | FAMILY HEALTH CLINIC, INC |
Entity Type | Organization |
Authorized Contact | CYNTHIA WOODSON COLVEN President 360-573-1381 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00032812) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2008-08-18 |