# EZER ART STUDIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316636400
- **Authorized official:** MRS. HYUNMI KIM (EXECUTOR)
- **Authorized official phone:** (206) 355-5338

## Contact information

- **Practice address:** 17806 30TH DR SE, BOTHELL, WA 98012-6654
- **Practice address phone:** (206) 355-5338
- **Mailing address:** 17806 30TH DR SE, BOTHELL, WA 98012-6654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 221700000X | Art Therapist | — | NULL | Yes |
| 221700000X | Art Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2023
- **Last updated:** 05/04/2023