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Organization

UMA CLINIC

Active
Other names
Erica L Eickhoff, LMP
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA LEILANI EICKHOFF LMP (OWNER/MANAGER)
(206) 293-4927
Entity
Organization

Contact information

Practice address
4425 FREMONT AVE N, SEATTLE, WA 98103-7225
(206) 293-4927
Mailing address
4425 FREMONT AVE N, SEATTLE, WA 98103-7225
(206) 293-4927

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00007811
WA
174400000X
Specialist
MA 00021407
WA

Other

Enumeration date
09/15/2010
Last updated
09/15/2010
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