| NPI | 1972713055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTE B MAEHREN Owner 253-460-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA OP00001459) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |