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VITAL PRO HEALTH PLLC

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Company Details

Legal Name: VITAL PRO HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 3rd 2024
Expiration date: 31 Oct 2025
UBI Number: 605 620 130
ZIP code: 98052
City: Redmond
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2007 152ND AVE NE, REDMOND, WA, 98052-5521, UNITED STATES

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Registered Agent Information

Name Role Address
PR CORP SERVICES INC Registered Agent 10900 NE 4TH ST STE 1850, BELLEVUE, WA, 98004-8341, UNITED STATES

Key Officers & Management

Name Role Address
DR YAKOV GRINBERG EXECUTOR 2007 152ND AVE NE, REDMOND, WA, 98052-5521, UNITED STATES

National Provider Identifier

NPI Number:
1902625775
Certification Date:
2025-02-25

Authorized Person:

Name:
YAKOV GRINBERG
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4254560106
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