Organization
LIVING MEDICAL ARTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANDY RAE GULLA ND LMT CM (MEMBER)
(425) 949-7018
Entity
Organization
Contact information
Practice address
10516 E RIVERSIDE DR, BOTHELL, WA 98011-3714
(425) 949-7018
Mailing address
10516 E RIVERSIDE DR, BOTHELL, WA 98011-3714
(425) 949-7018
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60188651
WA
225700000X
Massage Therapist
MA00023350
WA
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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