Organization
EDMONDS WELLNESS CLINIC, INC
Active
Parent organization
EDMONDS WELLNESS CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDMONDS WELLNESS CLINIC, INC
Authorized official
DR. MARK NOLTING ND (MEDICAL DIRECTOR)
(425) 672-2113
Entity
Organization
Contact information
Practice address
7935 216TH ST SW, SUITE E, EDMONDS, WA 98026-7941
(425) 672-2113
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 100, LOS ANGELES, CA 90077-1726
(310) 474-9809
(888) 431-8819
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/28/2011
Last updated
10/05/2015
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