TRI-STATE HEALING INITIATIVE LLC

RUSSELL, KY
NPI1841984036
Entity TypeOrganization
Authorized ContactBRYCE RATLIFF
Owner
952-261-7105
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2023-06-08
Last Update Date2025-06-17
Business Address
TRI-STATE HEALING INITIATIVE LLC
1619 DIEDERICH BLVD STE D1
RUSSELL, KY 41169-1778
Phone number: 952-261-7105
Mailing Address
TRI-STATE HEALING INITIATIVE LLC
17 LACKAWANNA PL APT 318
BLOOMFIELD, NJ 07003-2954
Phone number:
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