Organization
BELLA SOUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INGRID THORNTON (PRESIDENT)
(360) 707-2300
Entity
Organization
Contact information
Practice address
325 E GEORGE HOPPER RD, SUITE #106, BURLINGTON, WA 98233-3154
(360) 707-2300
Mailing address
325 E GEORGE HOPPER RD, SUITE #106, BURLINGTON, WA 98233-3154
(360) 707-2300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008701
WA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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