Individual
NATHAN KYLE NAMOLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
5853 NE 181ST ST, KENMORE, WA 98028-4510
(425) 381-3697
Mailing address
5853 NE 181ST ST, KENMORE, WA 98028-4510
(425) 381-3697
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60252801
WA
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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