# VITRUVIAN HOLISTIC HEALTHCARE

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

## Provider details

- **NPI number:** 1982340675
- **Authorized official:** JOLEE CONVER (BILLING MANAGER)
- **Authorized official phone:** (206) 567-9012

## Contact information

- **Practice address:** 13258 1ST AVE S, BURIEN, WA 98168-2688
- **Practice address phone:** (425) 835-3077
- **Mailing address:** 13258 1ST AVE S, BURIEN, WA 98168-2688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2022
- **Last updated:** 05/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AC60306480 | LICENSE | WA |
