Individual
ALEXIS MICHELLE BANDUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 4TH AVE E, OLYMPIA, WA 98506-4212
(360) 943-9519
Mailing address
4250 MARTIN WAY E STE 105-174, OLYMPIA, WA 98516-5317
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60806073
WA
Other
Enumeration date
10/12/2017
Last updated
03/21/2022
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