NORTHWEST FUNCTIONAL NUTRITION, LLC

BOTHELL, WA
NPI1760022156
Entity TypeOrganization
Authorized ContactNIKKI GEPNER
Owner
425-588-0480
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2020-01-14
Last Update Date2021-09-21
Business Address
NORTHWEST FUNCTIONAL NUTRITION, LLC
19125 N CREEK PKWY STE 120
BOTHELL, WA 98011-8000
Phone number: 425-588-0480
Mailing Address
NORTHWEST FUNCTIONAL NUTRITION, LLC
PO BOX 821092
KENMORE, WA 98028-0999
Phone number: 425-588-0480
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