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ACTIVE WOUND HEALING PLLC

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Company Details

Legal Name: ACTIVE WOUND HEALING PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 17th 2023
Expiration date: 31 Mar 2026
UBI Number: 605 143 993
ZIP code: 98338
City: Graham
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 13709 210TH ST E, GRAHAM, WA, 98338-6625, UNITED STATES

Contact Details

E-Mail: FELIPEARIVERA@COMCAST.NET
Phone Number: +1 253-686-2678

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role
GRAVIS LAW, PLLC Registered Agent

Key Officers & Management

Name Role Address
HUY DANG Executor 13709 210TH ST E, GRAHAM, WA, 98338-6625, UNITED STATES
HUY DANG Governing Person -

National Provider Identifier

NPI Number:
1679264485
Certification Date:
2023-06-21

Authorized Person:

Name:
HUY DANG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
8556967932
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