Organization
HOLISTIC HOME AND COMMUNITY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MBURU (OWNER)
(574) 707-5898
Entity
Organization
Contact information
Practice address
32700 PACIFIC HWY S, FEDERAL WAY, WA 98003-6446
(574) 707-5898
Mailing address
19925 154TH ST E, BONNEY LAKE, WA 98391-7489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
06/24/2024
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