| NPI | 1922406362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN R REUDINK Owner 360-624-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 200540490RN) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2015-03-09 |