Organization
MYSTIQUE HEALTHCARE
Active
Other names
Mystique Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ARMANDO LEMUS NP (CEO)
(206) 422-9443
Entity
Organization
Contact information
Practice address
11541 6TH AVE E, TACOMA, WA 98445-8083
(206) 422-9443
Mailing address
11541 6TH AVE E, TACOMA, WA 98445-8083
(206) 422-9443
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
11/21/2024
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