Organization
KNEAD TO HEAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI DVORAK LMP (OWNER)
(425) 923-5433
Entity
Organization
Contact information
Practice address
2312 RUCKER AVE, EVERETT, WA 98201-2723
(425) 923-5433
(425) 322-5004
Mailing address
2312 RUCKER AVE, EVERETT, WA 98201-2723
(425) 923-5433
(425) 322-5004
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA00020416
WA
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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