# INNATE HEALTH AWARENESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innate Radiance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962770396
- **Authorized official:** NATALIE-PASCALE A BOISSEAU LAC EAMP, LMP (OWNER)
- **Authorized official phone:** (206) 618-6099

## Contact information

- **Practice address:** 420 5TH AVE S, SUITE 103, EDMONDS, WA 98020-3464
- **Practice address phone:** (206) 618-6099
- **Mailing address:** 420 5TH AVE S, SUITE 103, EDMONDS, WA 98020-3464
- **Mailing address phone:** (206) 618-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC60175366 | WA | Yes |
| 174400000X | Specialist | MA00022731 | WA | — |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 12/13/2011