NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1306291133 |   |   |   | ALBERTSONS LLC | 250 E PARKCENTER BLVD | BOISE | ID | 837063940 |
1720493034 | KIM | MICHELLE |   |   | 187 NW MARIA ST UNIT 1 | COLLEGE PLACE | WA | 993242152 |
1003224429 | RICKORDS | WAYNE |   |   | 450 N WILBUR AVE | WALLA WALLA | WA | 993622254 |