Organization
THE LORD'S GYM VANCOUVER USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MICHELLE TURNER (BOOKKEEPER/TREASURER)
(360) 903-3911
Entity
Organization
Contact information
Practice address
2410 GRAND BLVD, VANCOUVER, WA 98661
(360) 718-7279
Mailing address
P.O. BOX 2275, VANCOUVER, WA 98668
(360) 718-7279
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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