Individual
IBUKUN OMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
6005 244TH ST SW, STE 111, MOUNTLAKE TERRACE, WA 98043-5400
(425) 275-5555
(425) 275-5590
Mailing address
6005 244TH ST SW, STE 111, MOUNTLAKE TERRACE, WA 98043-5400
(425) 275-5555
(425) 275-5590
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60039489
WA
175F00000X
Naturopath
NT60063074
WA
Other
Enumeration date
11/13/2008
Last updated
09/09/2009
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