Organization
HOLISTIQUE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAHANSHAH DARVISH (VICE PRESIDENT)
(206) 321-2202
Entity
Organization
Contact information
Practice address
1200 116TH AVE NE STE B, BELLEVUE, WA 98004-3802
(425) 451-0404
(425) 462-8919
Mailing address
1200 116TH AVE NE STE B, BELLEVUE, WA 98004-3802
(425) 451-0404
(425) 462-8919
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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