Organization
MANITOU HORIZONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALAN CHRISTIE L.M.P. (DIRECTOR)
(360) 870-0878
Entity
Organization
Contact information
Practice address
4412 PACIFIC AVE SE, SUITE # 202, LACEY, WA 98503-1119
(360) 870-0878
Mailing address
1001 COOPER POINT RD SW, SUITE 140-341, OLYMPIA, WA 98502-1107
(360) 870-0878
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00013615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162249
L & I
WA
Enumeration date
03/26/2007
Last updated
08/22/2020
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