Organization
LIVING WELL KENT COLLABORATIVE
Active
Other names
Living Well Kent Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMSO ISSAK (EXECUTIVE DIRECTOR)
(253) 457-2964
Entity
Organization
Contact information
Practice address
515 W HARRISON ST STE 208, KENT, WA 98032-4403
(253) 457-2964
Mailing address
10605 SE 240TH ST # 232, KENT, WA 98031-4903
(253) 457-2964
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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