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Organization

FOXGLOVE ACUPUNCTURE LLC

Active
Parent organization
ROOT OF MEDICINE PLLC
Other names
Rebel Med NW
Organization subpart
Yes

Provider details

NPI number
Legal business name
ROOT OF MEDICINE PLLC
Authorized official
KHAIRUL A BHAGWANDIN LAC, EAMP, LMT (ACUPUNCTURIST)
(206) 582-3471
Entity
Organization

Contact information

Practice address
5401 LEARY AVE NW STE 203, SEATTLE, WA 98107-4070
(206) 582-3471
(206) 582-3472
Mailing address
5401 LEARY AVE NW STE 203, SEATTLE, WA 98107-4070
(206) 582-3471
(206) 582-3472

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary

Other

Enumeration date
10/30/2018
Last updated
02/08/2022
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