NPI | 1881084317 |
---|---|
Entity Type | Organization |
Authorized Contact | VALDENCIA LANIECE GOSSING Manager 253-444-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60475878) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2015-02-05 |