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Organization

NOURISHTHRIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKE ERICKSON MS, CN (OWNER)
(425) 395-4638
Entity
Organization

Contact information

Practice address
310 3RD AVE NE STE 117, ISSAQUAH, WA 98027-3348
(425) 395-4638
Mailing address
1420 NW GILMAN BLVD # 2237, ISSAQUAH, WA 98027-5394
(425) 395-4638

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU 60628600
WA

Other

Enumeration date
06/09/2016
Last updated
06/09/2016
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