Organization
SHE WELLNESS LLC
Active
Other names
She Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIMI JACKSON DC (PRESIDENT)
(206) 259-8882
Entity
Organization
Contact information
Practice address
2319 N 45TH ST STE 105, SEATTLE, WA 98103-6947
(206) 259-8882
Mailing address
2319 N 45TH ST STE 105, SEATTLE, WA 98103-6947
(206) 259-8882
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH60044896
WA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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