| NPI | 1982722054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANDRO T. CABANILLA Owner And President 509-585-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: WA MD00032181) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |