| NPI | 1851902605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIL EDWARDS Owner 509-339-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2022-09-15 |