Organization
BLUE HORIZON MEDICAL ALTERNATIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA EICKMEYER (OWNER)
(360) 447-8363
Entity
Organization
Contact information
Practice address
9615 LEVIN RD NW, # 101, SILVERDALE, WA 98383-7666
(360) 447-8363
Mailing address
9615 LEVIN RD NW, # 101, SILVERDALE, WA 98383-7666
(360) 447-8363
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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