| Medical Equilibrium Llc | |
|
7311 35th Street Ct W Apt 1 University Place WA 98466-4434 | |
| (201) 918-1361 | |
| Not Available |
| Full Name | Medical Equilibrium Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7311 35th Street Ct W Apt 1, University Place, Washington |
| Authorized Official Name and Position | Jacqueline K Stuckey (MANAGING DIRECTOR) |
| Authorized Official Contact | 2019181361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Equilibrium Llc P O Box 257 Olympia WA 98507-0257 Ph: () - | Medical Equilibrium Llc 7311 35th Street Ct W Apt 1 University Place WA 98466-4434 Ph: (201) 918-1361 |
| NPI Number | 1699512111 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699512111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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