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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