| NPI | 1952571689 |
|---|---|
| Doing Business As | LIBERTY DIALYSIS - MANZANITA |
| Entity Type | Organization |
| Authorized Contact | RYAN B PARDO Vice President 206-236-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |