Organization
FORMO ENTERPRISES, INC
Active
Organization
FORMO ENTERPRISES, INC
Active
Parent organization
KIMBERLY FORMO, DC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIMBERLY FORMO, DC
Authorized official
KIMBERLY RENEE FORMO D.C. (PRESIDENT/CHIROPRACTOR)
(425) 483-2320
Entity
Organization
Contact information
Practice address
17401 135TH AVE NE, SUITE #4, WOODINVILLE, WA 98072-6825
(425) 483-2320
(425) 424-3256
Mailing address
17401 135TH AVE NE, SUITE #4, WOODINVILLE, WA 98072-6825
(425) 483-2320
(425) 424-3256
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH00034796
WA
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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