| NPI | 1982626974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA JOSELOVITZ Practice Administrator 425-259-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 600630040) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-12-12 |