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SAKURA LIFE THERAPY, PLLC

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Company Details

Legal Name: SAKURA LIFE THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 10th 2023
Expiration date: 31 May 2026
UBI Number: 605 230 488
ZIP code: 98607
City: Camas
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3717 NW 12TH AVE, CAMAS, WA, 98607-7985, UNITED STATES

Contact Details

E-Mail: SAKURALIFETHERAPY@GMAIL.COM
Phone Number: +1 425-931-6098

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
AI NAKAYAMA Registered Agent 3717 NW 12TH AVE, CAMAS, WA, 98607-7985, UNITED STATES

Key Officers & Management

Name Role Address
AI NAKAYAMA Executor 3717 NW 12TH AVE, CAMAS, WA, 98607-7985, UNITED STATES
AI NAKAYAMA Governing Person 3717 NW 12TH AVE, CAMAS, WA, 98607-7985, UNITED STATES

National Provider Identifier

NPI Number:
1922799758
Certification Date:
2023-05-15

Authorized Person:

Name:
AI NAKAYAMA
Role:
OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

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