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Organization

PEACEFULLY NOURISHED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY K BELL MS, CN (PROVIDER)
(360) 626-6026
Entity
Organization

Contact information

Practice address
18978 FRONT ST NE, POULSBO, WA 98370-7353
(360) 626-6026
(360) 626-6026
Mailing address
12739 CROWN DR NE, BAINBRIDGE ISLAND, WA 98110
(360) 626-6026
(360) 626-6026

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60125312
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
603480151
UBI
WA
Enumeration date
03/09/2015
Last updated
01/06/2017
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