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THRIVE LIFE WELLNESS, PLLC

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Company Details

Legal Name: THRIVE LIFE WELLNESS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 17th 2023
Expiration date: 31 Oct 2025
UBI Number: 605 344 980
ZIP code: 99362
City: Walla Walla
County: WALLA WALLA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 694 W ROSE ST, WALLA WALLA, WA, 99362-2707, UNITED STATES

Contact Details

E-Mail: CNHENZEL@MSN.COM

Nature of Business

Any Lawful Purpose, FAMILY PRACTICE CLINIC

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Registered Agent Information

Name Role Address
MINNICK HAYNER P.S. Registered Agent 249 W ALDER ST, WALLA WALLA, WA, 99362-2809, UNITED STATES

Key Officers & Management

Name Role Address
KATHRYN UNBEHAUN Executor 249 W ALDER ST, WALLA WALLA, WA, 99362-2809, UNITED STATES
CRISTAL BUESCHER Governing Person -
MINNICK HAYNER P.S. EXECUTOR 249 W ALDER ST, WALLA WALLA, WA, 99362-2809, UNITED STATES

National Provider Identifier

NPI Number:
1578330304
Certification Date:
2024-10-01

Authorized Person:

Name:
CRISTAL BUESCHER
Role:
OWNER/FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8334505993
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