| Proactive Nutrition, Llc | |
|
13008 Ne 125th Way Kirkland WA 98034-7726 | |
| (425) 814-8443 | |
| (425) 814-4852 |
| Full Name | Proactive Nutrition, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13008 Ne 125th Way, Kirkland, Washington |
| Authorized Official Name and Position | Sally L Hara (OWNER) |
| Authorized Official Contact | 4258148443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive Nutrition, Llc 13008 Ne 125th Way Kirkland WA 98034-7726 Ph: (425) 814-8443 | Proactive Nutrition, Llc 13008 Ne 125th Way Kirkland WA 98034-7726 Ph: (425) 814-8443 |
| NPI Number | 1780831917 |
|---|---|
| Provider Enumeration Date | 08/19/2008 |
| Last Update Date | 08/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780831917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 602401604 (Washington) | Primary |
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