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LAKEWOOD WELLNESS CLINIC PLLC

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Company Details

Legal Name: LAKEWOOD WELLNESS CLINIC PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 29th 2019
Expiration date: 31 Jul 2026
UBI Number: 604 487 680
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10310 GRAVELLY LAKE DR SW, SUITE B, LAKEWOOD, WA, 98499-5014, UNITED STATES

Contact Details

E-Mail: LAKEWOODWELLNESSCLINIC@GMAIL.COM
Phone Number: +1 253-888-3405

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JENNIFER RUBIO Registered Agent 9026 LAKE STEILACOOM POINT RD SW, LAKEWOOD, WA, 98498-5942, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER RUBIO Executor 9026 LAKE STEILACOOM POINT RD SW, LAKEWOOD, WA, 98498-5942, UNITED STATES
CHRISTIAN RUBIO Executor 9026 LAKE STEILACOOM POINT RD SW, LAKEWOOD, WA, 98498-5942, UNITED STATES
JENNIFER RUBIO Governing Person 9026 LAKE STEILACOOM POINT RD SW, LAKEWOOD, WA, 98498-5942, UNITED STATES
CHRISTIAN RUBIO Governing Person -

National Provider Identifier

NPI Number:
1134764509

Authorized Person:

Name:
MRS. JENNIFER RUBIO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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