MAXWELL FAMILY MEDICINE, PLLC
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| Legal Name: | MAXWELL FAMILY MEDICINE, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Administratively Dissolved |
| Formation/ Registration Date: | September 17th 2011 |
| Date of Dissolution: | February 3rd 2020 |
| Expiration date: | 30 Sep 2019 |
| UBI Number: | 603 144 603 |
| Home State: | IDAHO |
| Principal Office Street Address: |
12733 N 11TH AVE, BOISE, ID, 83714-9334, UNITED STATES
|
| E-Mail: |
DTMACCA@GMAIL.COM |
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| Name | Role | Address |
|---|---|---|
| NICOLE MAXWELL | Registered Agent | 17510 VASHON HWY SW, VASHON, WA, 98070-0000, UNITED STATES |
| Name | Role |
|---|---|
| DANIEL MACCA | Governing Person |