| NPI | 1922704170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYMEE LYNNE ENGLAND Office Manager 509-581-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-06-05 |