| NPI | 1861329088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUN TAM Resident 509-942-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2026-05-04 |
| Last Update Date | 2026-05-04 |