Organization
GJSC, LLC
Active
Other names
Designed Clinical Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNETTE BLAIR BIRNBACH DC MS CN CCN (OWNER)
(425) 747-2878
Entity
Organization
Contact information
Practice address
15230 NE 24TH ST, SUITE E (2ND FLOOR), REDMOND, WA 98052-5540
(425) 727-2878
Mailing address
15230 NE 24TH ST, SUITE E (2ND FLOOR), REDMOND, WA 98052-5540
(425) 727-2878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034687
WA
133N00000X
Nutritionist
NU00001972
WA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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