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Two Sisters Dc LLC

Health Maintenance Organization in Issaquah, WA. Organization (NPI-2).

NPI number1093192536
StatusActive
Last updated in NPPESJul 28, 2015

Details

NPI
1093192536
Entity type
Organization (NPI-2)
Legal business name
Two Sisters Dc LLC
Organization subpart
No
Enumeration date
May 5, 2015
Last updated
Jul 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
302R00000X Health Maintenance OrganizationCH60531523WAYes

Practice location

5825 221st Pl Se
Suite 103
Issaquah, WA 98027-8927

Phone 425-392-7334 · Fax 425-392-8009

Mailing address

5825 221st Pl Se
Suite 103
Issaquah, WA 98027-8927

Phone 425-392-7334 · Fax 425-392-8009

Authorized official

Lindsey Dinicola
Chiropractor
4253927334

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