Organization
FULL CIRCLE HEALTH AND WELLNESS CENTER PLLP
Active
Organization
FULL CIRCLE HEALTH AND WELLNESS CENTER PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE MONIZ (MANAGER)
(509) 560-3928
Entity
Organization
Contact information
Practice address
208 S MAIN ST, OMAK, WA 98841-9755
(509) 560-3928
Mailing address
PO BOX 922, OMAK, WA 98841-0922
(509) 560-3928
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699336636
NIP
WA
01
—
1790123123
NPI
WA
01
—
1942821277
NPI
WA
Enumeration date
10/01/2020
Last updated
10/01/2020
Update your record
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