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Organization
NATURAL LIFE INTEGRATIVE HEALTH
Active
Organization
NATURAL LIFE INTEGRATIVE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA ELAYNE FIRETAG ND (MEDICAL DIRECTOR, TREASURER)
(843) 209-3966
Entity
Organization
Contact information
Practice address
102 23RD AVE SE, PUYALLUP, WA 98372-4501
(253) 268-2170
(253) 268-0658
Mailing address
102 23RD AVE SE, PUYALLUP, WA 98372-4501
(253) 268-2170
(253) 268-0658
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60524427
WA
261QM1300X
Multi-Specialty Clinic/Center
NT60524427
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047746
—
WA
Enumeration date
09/15/2017
Last updated
07/21/2022
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