Organization
VITRUVIAN HOLISTIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEE CONVER (BILLING MANAGER)
(206) 567-9012
Entity
Organization
Contact information
Practice address
13258 1ST AVE S, BURIEN, WA 98168-2688
(425) 835-3077
Mailing address
13258 1ST AVE S, BURIEN, WA 98168-2688
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC60306480
LICENSE
WA
Enumeration date
05/06/2022
Last updated
05/06/2022
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