| NPI | 1922359546 |
|---|---|
| Doing Business As | VILLAGE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TARA JOHNIE SHELBY CEO Medical Director 206-919-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 9999999) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2020-07-21 |