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QUEST KETAMINE THERAPIES, PLLC

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Company Details

Legal Name: QUEST KETAMINE THERAPIES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 3rd 2022
Expiration date: 31 Dec 2025
UBI Number: 605 004 143
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 22525 SE 64TH PL # H-140, ISSAQUAH, WA, 98027-5383, UNITED STATES

Contact Details

E-Mail: MKESZLER13@YAHOO.COM
Phone Number: +1 206-245-7552

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
EMPIRE OF RAINIER ANESTHESIA, LLC Registered Agent

Key Officers & Management

Name Role Address
MITCHELL KESZLER Executor 24622 214TH AVE SE, MAPLE VALLEY, WA, 98038-8507, UNITED STATES
EMPIRE OF RAINIER ANESTHESIA, LLC Governing Person -
MITCHELL KESZLER Governing Person 24622 214TH AVE SE, MAPLE VALLEY, WA, 98038-8507, UNITED STATES

National Provider Identifier

NPI Number:
1376243642
Certification Date:
2023-03-06

Authorized Person:

Name:
MR. MITCHELLE KESZLER
Role:
CRNA
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

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