NPI | 1992965750 |
---|---|
Entity Type | Organization |
Authorized Contact | MAZEN DAHAN Manger 253-848-7660 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA 025209 MD00038984) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |