Individual
NICOLE SIRIVANSANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, EAMP
Contact information
Practice address
650 S ORCAS ST # 205, SEATTLE, WA 98108-2652
(701) 404-7977
Mailing address
7701 RENTON AVE S, SEATTLE, WA 98118-4134
(701) 404-7977
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC70065208
WA
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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