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DANDELION PEDIATRICS LLC

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Company Details

Legal Name: DANDELION PEDIATRICS LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 8th 2024
Expiration date: 31 Jan 2026
UBI Number: 605 391 107
ZIP code: 99352
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1157 VIEWMOOR CT, RICHLAND, WA, 99352-7642, UNITED STATES

Contact Details

E-Mail: BLUEORCHID@COMCAST.NET

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LISA NELSON Registered Agent 1157 VIEWMOOR CT, RICHLAND, WA, 99352-7642, UNITED STATES

Key Officers & Management

Name Role Address
LISA NELSON Executor 1157 VIEWMOOR CT, RICHLAND, WA, 99352-7642, UNITED STATES
LISA NELSON Governing Person 1157 VIEWMOOR CT, RICHLAND, WA, 99352-7642, UNITED STATES

National Provider Identifier

NPI Number:
1043071426
Certification Date:
2024-01-22

Authorized Person:

Name:
MRS. LISA NELSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
224Z00000X - Occupational Therapy Assistant
Is Primary:
No
Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
Yes

Contacts:

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