| NPI | 1861820078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGIT A KONG Owner 425-948-7856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA MA00014715) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |