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Organization
LIVING WELL KENT COLLABORATIVE
Active
Organization
LIVING WELL KENT COLLABORATIVE
Active
Other names
Living Well Kent Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMSO ISSAK (EXECUTIVE DIRECTOR)
(253) 457-2964
Entity
Organization
Contact information
Practice address
515 W HARRISON ST STE 208, KENT, WA 98032-4403
(253) 457-2964
Mailing address
10605 SE 240TH ST # 232, KENT, WA 98031-4903
(253) 457-2964
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
NULL
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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