Organization
MIND YOUR BODY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJNINDER K JUTLA MD (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
3819 100TH ST SW, SUITE 7-C, LAKEWOOD, WA 98499-4470
(253) 588-7911
(253) 984-6774
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00047987
WA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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