Organization
WHOLEHEARTED FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ZAMBITO ARNP (OWNER)
(360) 457-5139
Entity
Organization
Contact information
Practice address
430 E LAURIDSEN BLVD, 212, PORT ANGELES, WA 98362-7978
(360) 457-5139
Mailing address
430 E LAURIDSEN BLVD, 212, PORT ANGELES, WA 98362-7978
(360) 457-5139
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AP300006177
WA
Other
Enumeration date
10/03/2016
Last updated
10/31/2016
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