Organization
HEALTHFUL SLEEP SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED DEAN EVANS DMD (OWNER)
(509) 389-9333
Entity
Organization
Contact information
Practice address
1327 N STANFORD LN, LIBERTY LAKE, WA 99019-5034
(509) 389-9333
(509) 891-4741
Mailing address
1327 N STANFORD LN, LIBERTY LAKE, WA 99019-5034
(509) 389-9333
(509) 891-4741
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604943954
SECRETARY OF STATE
WA
Enumeration date
07/20/2022
Last updated
07/20/2022
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