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FAMILY AND WELLNESS MEDICINE, LLC

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Company Details

Legal Name: FAMILY AND WELLNESS MEDICINE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 27th 2018
Expiration date: 30 Sep 2025
UBI Number: 604 329 334
ZIP code: 98003
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 34004 16TH AVE S STE 100, FEDERAL WAY, WA, 98003-8905, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 3086, FEDERAL WAY, WA, 98063-3086, UNITED STATES

Contact Details

E-Mail: FAMILYMEDICINE@FWMWA.COM
Phone Number: +1 253-944-1223

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
HONG NGUYEN Registered Agent 5140 S 166TH LN, SEATAC, WA, 98188-3284, UNITED STATES

Key Officers & Management

Name Role Address
HONG NGUYEN Executor 5140 S 166TH LN, SEATAC, WA, 98188-3284, UNITED STATES
HONG NGUYEN Governing Person 5140 S 166TH LN, SEATAC, WA, 98188-3284, UNITED STATES
SAVIO PHAM Governing Person -

National Provider Identifier

NPI Number:
1679042501

Authorized Person:

Name:
DR. SAVIO PHAM
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

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