| NPI | 1922635887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOCKY KAMAU Owner Of Entity 253-433-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-08-25 |