| NPI | 1992122790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA WASAN ALEJANDRO Care Manager 253-854-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 751004) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |