Organization
LIVING WELL HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZALYN KHABIBULIN LAC (ACUPUNCTURIST)
(206) 261-8353
Entity
Organization
Contact information
Practice address
14090 FRYELANDS BLVD SE STE 174, MONROE, WA 98272-2693
(206) 261-8353
Mailing address
14090 FRYELANDS BLVD SE STE 174, MONROE, WA 98272-2693
(206) 261-8353
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60503717
WA
Other
Enumeration date
10/23/2015
Last updated
10/20/2020
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