| NPI Details | |
|---|---|
| NPI | 1023150646 |
| Enumeration Date | 02/12/2007 |
| Last Updated | 02/11/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | CHERYL ANN CHERYL |
| Position | OWNER |
| Phone | (425) 252-9132 |
| Fax | (425) 252-9714 |
| Practice Location | |
|---|---|
| 1505 BROADWAY EVERETT WA, 98201-1721, US |
|
| Phone | (425) 252-9132 |
| Fax | (425) 252-9714 |
| Business Location | |
|---|---|
| 1505 BROADWAY EVERETT WA, 98201-1721, US |
|
| Phone | (425) 252-9132 |
| Fax | (425) 252-9714 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225700000X |
| License State | Washington |
| License Number | MA11685 |
| Remove 1023150646 NPI Number | |
According to our database, Everett Therapeutic Center, Llc NPI is 1023150646, taxonomy code is 225700000X and license number is MA11685, license state is located at Washington. Everett Therapeutic Center, Llc physically located at 1505 Broadway, Everett WA, 98201-1721. NPI Number 1033115704 has the healthcare provider type.
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1023150646 NPI number is provided on an as is basis without warranty of any kind. 1023150646 is maintained by the National Plan & Provider Enumeration System. The contents of Everett Therapeutic Center, Llc are for informational purposes only.
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