NPI 1154764413

Whole Family Clinic, LLC

Organisation Non-Pharmacy Dispensing Site Bellevue, WA

Practice location

Address: 1530 140th Ave NE Suite 101, Bellevue, WA 98005-4574
Phone: (206) 295-3855
Mailing address: 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726

Authorised official

Name: Dina M. Kisseleva
Title: Owner
Phone: (206) 295-3855

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1154764413
Entity type: Organization
NPI issued: 16 Apr 2013
Record last updated: 16 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.