Organization
COSSMEDIC WELLNESS AND AESTHETICS PLLC
Active
Other names
Cossmedic Wellness and Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN JEANNETTE RICHARDSON DNP, FNP-C, ENP-BC (MEDICAL DIRECTOR)
(253) 961-6207
Entity
Organization
Contact information
Practice address
4103 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4322
(253) 267-0341
Mailing address
4103 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4322
(253) 267-0341
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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