| NPI | 1902083983 |
|---|---|
| Doing Business As | CLEAR CHOICE SKIN SOLUTIONS & LASER CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBEKAH ANNE KRUGER Lmp, Le, Medical Biller, Office Man 360-943-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA MD00026210) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: WA MA00023689) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |