Organization
AVALON BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER GREGORY LMP (OWNER/LMP)
(360) 510-6663
Entity
Organization
Contact information
Practice address
115 W MAGNOLIA ST, 202, BELLINGHAM, WA 98225-4300
(360) 510-6663
Mailing address
115 W MAGNOLIA ST, 202, BELLINGHAM, WA 98225-4300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60059184
WA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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