| NPI | 1861743791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN JEAN MELO Medical Director 253-471-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: WA MD60106662) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |