Organization
BLUESTONE WELLNESS PLLC
Active
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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