Organization
BALANCED BEAUTY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GOULDING JAVIER (FAMILY NURSE PRACTITIONER)
(360) 513-7027
Entity
Organization
Contact information
Practice address
424 WILLIAMS ST, MOSSYROCK, WA 98564-9001
(360) 513-7027
Mailing address
14913 NE 82ND ST, VANCOUVER, WA 98682-3413
(360) 513-7027
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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