| NPI | 1871823823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA J WELLS Owner 360-393-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007075) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |