Organization
BLOSSOM NATURAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEREDITH DISTANTE N.D. (OWNER/PHYSICIAN)
(360) 834-2732
Entity
Organization
Contact information
Practice address
415 NE BIRCH ST, CAMAS, WA 98607-2139
(360) 834-2732
(360) 834-3063
Mailing address
415 NE BIRCH ST, CAMAS, WA 98607-2139
(360) 834-2732
(360) 834-3063
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT00001485
WA
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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