| NPI | 1790060994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY M LECOVIN Owner 425-999-4484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2014-03-06 |