| NPI | 1881916450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT W. SHU Owner 360-683-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA BUSLIC01471) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2012-06-27 |