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MICHELLE BAJEMA, ARNP, LLC

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Company Details

Legal Name: MICHELLE BAJEMA, ARNP, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: May 29th 2018
Expiration date: 31 May 2025
UBI Number: 604 288 635
ZIP code: 98503
City: Lacey
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4405 7TH AVE SE STE 100, LACEY, WA, 98503-1055, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 3130, LACEY, WA, 98509-3130, UNITED STATES

Contact Details

E-Mail: MICHELLEBAJEMA@GMAIL.COM
Phone Number: +1 360-507-5607

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MICHELLE BAJEMA Registered Agent 6212 75TH ST W, LAKEWOOD, WA, 98499-8368, UNITED STATES

Key Officers & Management

Name Role Address
MICHELLE BAJEMA Executor 4930 MARIAN DR NE, OLYMPIA, WA, 98516-2239, UNITED STATES
MICHELLE BAJEMA Governing Person 4930 MARIAN DR NE, OLYMPIA, WA, UNITED STATES
BRET BAJEMA Governing Person 6212 75TH ST W, LAKEWOOD, WA, 98499-8368, UNITED STATES

National Provider Identifier

NPI Number:
1124858360
Certification Date:
2025-06-16

Authorized Person:

Name:
MICHELLE BAJEMA
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2534426160
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