Organization
MEDICAL EQUILIBRIUM LLC
Active
Organization
MEDICAL EQUILIBRIUM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE K STUCKEY (MANAGING DIRECTOR)
(201) 918-1361
Entity
Organization
Contact information
Practice address
7311 35TH STREET CT W APT 1, UNIVERSITY PLACE, WA 98466-4434
(201) 918-1361
Mailing address
P O BOX 257, OLYMPIA, WA 98507-0257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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