NPI | 1851532659 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE M HAYES Pediatric Nurse Practitioner 253-565-7686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA ap30003701) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: WA rn00093723) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2009-03-09 |