Organization
EXTRAORDINARY WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA S BOYD ND (OWNER, MANAGING MEMBER)
(928) 303-1593
Entity
Organization
Contact information
Practice address
21410 1ST AVE W UNIT B, BOTHELL, WA 98021-7514
(928) 303-1593
Mailing address
21410 1ST AVE W UNIT B, BOTHELL, WA 98021-7514
(928) 303-1593
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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