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WILD ROSE PEDIATRICS LLC

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Company Details

Legal Name: WILD ROSE PEDIATRICS LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 7th 2021
Expiration date: 31 Jan 2026
UBI Number: 604 697 210
ZIP code: 98362
City: Port Angeles
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 629 E 8TH ST, PORT ANGELES, WA, 98362-6223, UNITED STATES

Contact Details

E-Mail: WILDROSE@WILDROSEHEALING.NET
Phone Number: +1 360-569-1688

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHRISTINE ROSE Registered Agent 111 FOX POINT RD, PORT ANGELES, WA, 98363-8529, UNITED STATES

Key Officers & Management

Name Role Address
CHRISTINE ROSE Executor 111 FOX POINT RD, PORT ANGELES, WA, 98363-8529, UNITED STATES
CHRISTINE ROSE Governing Person -

National Provider Identifier

NPI Number:
1033896048
Certification Date:
2023-06-30

Authorized Person:

Name:
CHRISTINE ROSE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

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