NPI | 1982073235 |
---|---|
Doing Business As | PACIFICA MEDICINE AND WELLNESS |
Entity Type | Organization |
Authorized Contact | MARIE ELAINE MATTY President 360-979-0569 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA md00041619) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2024-07-27 |