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NATURAL LIFE MEDICINE PLLC

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Company Details

Legal Name: NATURAL LIFE MEDICINE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 1st 2019
Expiration date: 31 Oct 2025
UBI Number: 604 524 757
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 104 23RD AVE SE, PUYALLUP, WA, 98372-4527, UNITED STATES

Contact Details

E-Mail: DR.GRAKLANOFF@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization, Retail

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Registered Agent Information

Name Role Address
ANNA GRAKLANOFF Registered Agent 19032 68TH ST E, BONNEY LAKE, WA, 98391-8828, UNITED STATES

Key Officers & Management

Name Role Address
ANNA GRAKLANOFF Executor 19032 68TH ST E, BONNEY LAKE, WA, 98391-8828, UNITED STATES
ANNA GRAKLANOFF Governing Person 104 23RD AVE SE, PUYALLUP, WA, 98372-4527, UNITED STATES

National Provider Identifier

NPI Number:
1801431945

Authorized Person:

Name:
ANNA GRAKLANOFF
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
175F00000X - Naturopath
Is Primary:
Yes

Contacts:

Fax:
2532680658

Form 5500 Series

Employer Identification Number (EIN):
843215642
Plan Year:
2023
Number Of Participants:
4
Plan Name:
401(K)
Sponsor's DBA Name:
NLM
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA GRAKLANOFF(Plan administrator)
Plan Year:
2022
Number Of Participants:
2
Plan Name:
401(K)
Sponsor's DBA Name:
NLM
Sponsor's telephone number:
Plan Administrator / Signatory:
ANNA GRAKLANOFF(Plan administrator)
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