| NPI | 1942593165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT N MUONEKE Owner 206-248-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA MD00027931) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA MD00027931) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-09-15 |