Organization
NOURISHING LIFE CHINESE MEDICINE CLINIC LLC
Active
Parent organization
NOURISHIN LIFE CHINESE MEDICINE CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOURISHIN LIFE CHINESE MEDICINE CLINIC LLC
Authorized official
DR. ALLISON JEAN MUMA DSOM LAC (DOCTOR OF EAST ASIAN MEDICINE)
(360) 379-6798
Entity
Organization
Contact information
Practice address
1334 LAWRENCE ST, PORT TOWNSEND, WA 98368-6529
(360) 379-6798
Mailing address
1334 LAWRENCE ST, PORT TOWNSEND, WA 98368-6529
(360) 379-6798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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