Organization
MIND YOUR BODY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJNINDER JUTLA MD (OWNER/PROVIDER)
(206) 957-7246
Entity
Organization
Contact information
Practice address
6900 E GREENLAKE WAY N, SUITE J, SEATTLE, WA 98103
(206) 957-7246
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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