| NPI | 1851741698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARCONI Owner 253-579-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: WA CH00034645) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |