Organization
FREE RANGE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLE ALEXANDER DAOM, EAMP, LAC (EXECUTIVE DIRECTOR)
(425) 419-7033
Entity
Organization
Contact information
Practice address
6128 96TH ST NE, MARYSVILLE, WA 98270-2428
(425) 419-7033
Mailing address
6128 96TH ST NE, MARYSVILLE, WA 98270-2428
(425) 419-7033
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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