Organization
WHITE WILLOW ROAD HEALING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYKOL RADZISZEWSKI MS, EAMP, LAC (EAST ASIAN MEDICINE PRACTITIONER)
(206) 251-7109
Entity
Organization
Contact information
Practice address
6715 GREENWOOD AVE N, SEATTLE, WA 98103-5225
(206) 251-7109
Mailing address
6715 GREENWOOD AVE N, SEATTLE, WA 98103-5225
(206) 251-7109
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60182088
WA
Other
Enumeration date
08/23/2011
Last updated
09/27/2012
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