| 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 |