5E COMMUNITY CLINIC, LLC

SEATTLE, WA
NPI1457779738
Entity TypeOrganization
Authorized ContactMARK R TIBEAU
Sole Member
206-781-1371
Organization Subpart ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: WA  WA-585)
Enumeration Date2014-04-03
Last Update Date2014-04-03
Business Address
5E COMMUNITY CLINIC, LLC
5424 BALLARD AVE NW SUITE 301
SEATTLE, WA 98107-4046
Phone number: 206-781-1371
Mailing Address
5E COMMUNITY CLINIC, LLC
5424 BALLARD AVE NW SUITE 301
SEATTLE, WA 98107-4046
Phone number: 206-781-1371
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