Individual
JULEAH R. RUSSEK TABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
11521 SE 259TH ST # 102, KENT, WA 98030-7856
(425) 577-9414
Mailing address
11521 SE 259TH ST UNIT 102, KENT, WA 98030-7856
(425) 577-9414
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT61092851
WA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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