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MERCEDES ALICE, ARNP, LLC

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Company Details

Legal Name: MERCEDES ALICE, ARNP, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 28th 2017
Expiration date: 31 Jul 2025
UBI Number: 604 154 214
ZIP code: 98028
City: Kenmore
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 18208 66TH AVE NE STE 201, KENMORE, WA, 98028-7949, UNITED STATES

Contact Details

E-Mail: MERCEDESALICE@EBBANDFLOWMH.INFO
Phone Number: +1 425-615-6696

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
MERCEDES ALICE, ARNP, LLC Registered Agent

Key Officers & Management

Name Role Address
MERCEDES ALICE Governing Person -
MERCEDES ALICE EXECUTOR 13128 TOTEM LAKE BLVD NE, STE 104, KIRKLAND, WA, 98034-2953, UNITED STATES

National Provider Identifier

NPI Number:
1114571643
Certification Date:
2024-07-31

Authorized Person:

Name:
MERCEDES MARIE ALICE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
4256202007
Fax:
4258142783
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