Individual
DR. MYSTIQUE D GROBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND,LAC
Contact information
Practice address
851 COHO WAY, #309, BELLINGHAM, WA 98225-2067
(360) 527-2812
(360) 734-3088
Mailing address
851 COHO WAY, #309, BELLINGHAM, WA 98225-2067
(360) 527-2812
(360) 734-3088
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00000225
WA
175F00000X
Naturopath
Primary
NT00000713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
912061822
FED TAX ID
—
01
—
AC00000225
STATE LICENSE
WA
01
—
NT00000713
STATE LICENSE
WA
Enumeration date
01/09/2007
Last updated
09/13/2013
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