| NPI | 1962022566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH LAREE ALFANO President 360-601-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-04-23 |