| Lakewood Wellness Clinic | |
|
10310 Gravelly Lake Dr Sw Ste B Lakewood WA 98499-5014 | |
| (253) 888-3405 | |
| Not Available |
| Full Name | Lakewood Wellness Clinic |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 10310 Gravelly Lake Dr Sw Ste B, Lakewood, Washington |
| Authorized Official Name and Position | Jennifer Rubio (OWNER) |
| Authorized Official Contact | 2532083179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Wellness Clinic 10310 Gravelly Lake Dr Sw Ste B Lakewood WA 98499-5014 Ph: (253) 888-3405 | Lakewood Wellness Clinic 10310 Gravelly Lake Dr Sw Ste B Lakewood WA 98499-5014 Ph: (253) 888-3405 |
| NPI Number | 1134764509 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 11/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134764509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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