| NPI | 1912136904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DOUGLAS SANDERSON Owner 253-847-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA 1162) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |