White Willow Road Healing Center, LLC

NPI #1831479724 in Seattle, Washington

Provider Information

NPI Number: 1831479724
Entity Type: Organization
Organization Name: White Willow Road Healing Center, LLC
Primary Specialty: Acupuncturist
Enumeration Date: Aug 23, 2011
Last Updated: Sep 27, 2012

Practice Location

Address: 6715 GREENWOOD AVE N
City: Seattle
State: Washington
ZIP Code: 98103-5225
Phone: (206) 251-7109

Authorized Official

Name: MYKOL RADZISZEWSKI, MS, EAMP, LAC
Title: EAST ASIAN MEDICINE PRACTITIONER
Phone: (206) 251-7109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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