| Integrated Health And Wellness, Llc | |
|
344 Cleveland Ave Se Ste A Tumwater WA 98501-3342 | |
| (425) 200-0654 | |
| (425) 200-0646 |
| Full Name | Integrated Health And Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 344 Cleveland Ave Se Ste A, Tumwater, Washington |
| Authorized Official Name and Position | Mary Gumbo (OWNER) |
| Authorized Official Contact | 4254438687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health And Wellness, Llc 344 Cleveland Ave Se Ste A Tumwater WA 98501-3342 Ph: (425) 200-0654 | Integrated Health And Wellness, Llc 344 Cleveland Ave Se Ste A Tumwater WA 98501-3342 Ph: (425) 200-0654 |
| NPI Number | 1982366936 |
|---|---|
| Provider Enumeration Date | 10/07/2021 |
| Last Update Date | 07/25/2024 |
| Medicare PECOS PAC ID | 9830581263 |
|---|---|
| Medicare Enrollment ID | O20220117000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982366936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mary A. Gumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962928861 PECOS PAC ID: 6800129982 Enrollment ID: I20190604002224 |
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