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HOLISTIQUE PRIMARY CARE, LLC

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Company Details

Legal Name: HOLISTIQUE PRIMARY CARE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 29th 2021
Expiration date: 31 Oct 2025
UBI Number: 604 829 924
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1200 116TH AVE NE, SUITE C, BELLEVUE, WA, 98004-3802, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1200 116TH AVE NE, SUITE C, SUITE C, BELLEVUE, WA, 98004, UNITED STATES

Contact Details

E-Mail: JDARVISH@HOLISTIQUE.COM
Phone Number: +1 206-321-2202

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JAHANSHAH DARVISH Registered Agent 1200 116TH AVE NE STE C, BELLEVUE, WA, 98004-3802, UNITED STATES

Key Officers & Management

Name Role Address
NOOSHIN DARVISH Executor 1200 116TH AVE NE, BELLEVUE, WA, 98004-3802, UNITED STATES
NOOSHIN DARVISH Governing Person -

National Provider Identifier

NPI Number:
1093470668
Certification Date:
2021-11-08

Authorized Person:

Name:
MR. JAHANSHAH DARVISH
Role:
VICE PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
4254628919
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