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Organization

BLUESTONE WELLNESS PLLC

Active
Other names
Bluestone Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL ANTONINA IACOBAZZI RIECAN LMP (OWNER)
(253) 380-0434
Entity
Organization

Contact information

Practice address
8514 49TH ST W, UNIVERSITY PLACE, WA 98467-1810
(253) 380-0434
Mailing address
9805 NE 116TH ST, PMB# 7238, KIRKLAND, WA 98034
(253) 380-0434

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
07/15/2010
Last updated
06/04/2014
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