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Organization
SHANTIJOY INC
Active
Organization
SHANTIJOY INC
Active
Other names
ShantiJOY Integrative
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUBREY K WALLACE ND (OWNER)
(425) 595-5892
Entity
Organization
Contact information
Practice address
5208 S 2ND AVE, EVERETT, WA 98203
(425) 595-5892
(425) 595-5893
Mailing address
5208 S 2ND AVE, EVERETT, WA 98203
(425) 595-5892
(425) 595-5893
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60477240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046966
—
WA
Enumeration date
02/09/2017
Last updated
04/16/2017
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