| NPI | 1962137125 |
|---|---|
| Doing Business As | EATONVILLE INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MELISSA BRONOSKE President 253-677-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-01-25 |