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NEST CHILDREN'S CLINIC, PLLC

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Company Details

Legal Name: NEST CHILDREN'S CLINIC, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 8th 2023
Expiration date: 30 Nov 2025
UBI Number: 605 364 153
ZIP code: 99301
City: Pasco
County: FRANKLIN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9425 SANDIFUR PARKWAY, STE 203, PASCO, WA, 99301, UNITED STATES

Contact Details

E-Mail: PEDIATRICIANS@NESTPEDS.COM

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
GRAVIS LAW, PLLC Registered Agent

Key Officers & Management

Name Role Address
PAOLO DE VERA Executor 522 W RIVERSIDE AVE STE 5691, SPOKANE, WA, 99201-0580, UNITED STATES
DIANNA LANG Executor 522 W RIVERSIDE AVE STE 5691, SPOKANE, WA, 99201-0580, UNITED STATES
GERALDINE GATMAITAN Executor 522 W RIVERSIDE AVE STE 5691, SPOKANE, WA, 99201-0580, UNITED STATES
GERALDINE GATMAITAIN Governing Person -
PAOLO DE VERA Governing Person -
DIANNA LANG Governing Person -

National Provider Identifier

NPI Number:
1467296160
Certification Date:
2024-10-22

Authorized Person:

Name:
DR. DIANNA LANG
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

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