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NEW LIFE OBGYN PLLC

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Company Details

Legal Name: NEW LIFE OBGYN PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 3rd 2022
Expiration date: 31 Jan 2026
UBI Number: 604 855 123
ZIP code: 98908
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1006 S 64TH AVE., SUITE 120, YAKIMA, WA, 98908, UNITED STATES

Contact Details

E-Mail: RCHAVEZ@NEWLIFEYAKIMA.COM
Phone Number: +1 509-517-5777

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
RACHELLE CHAVEZ Registered Agent 1006 S 64TH AVE, SUITE 120, YAKIMA, WA, 98908-2090, UNITED STATES

Key Officers & Management

Name Role Address
ANITA SHOWALTER Executor 15651 FISK RD, YAKIMA, WA, 98908-9141, UNITED STATES
RACHELLE SANJUAN CHAVEZ Executor 361 WHEAT RD, VINELAND, NJ, 08360-9628, UNITED STATES
RACHELLE SANJUAN CHAVEZ Governing Person -

National Provider Identifier

NPI Number:
1558022103
Certification Date:
2024-10-24

Authorized Person:

Name:
DR. RACHELLE SANJUAN CHAVEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
5093179547
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