Whole Family Clinic, LLC

NPI #1154764413 in Bellevue, Washington

Provider Information

NPI Number
1154764413
Entity Type
Organization
Organization Name
Whole Family Clinic, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WHOLE FAMILY CLINIC, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Apr 16, 2013
Last Updated
Apr 16, 2013

Practice Location

Address
1530 140TH AVE NE
Address 2
SUITE 101
ZIP Code
98005-4574
Phone
(206) 295-3855

Authorized Official

Name
DR. DINA M. KISSELEVA, ND
Title
OWNER
Phone
(206) 295-3855

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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