| NPI | 1851750863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY QUON Owner 206-802-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA MA 60159285) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |