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Fountain Of Life Wellness Center
Voluntary or Charitable Agency in Tacoma, Washington
NPI 1558672329

Fountain Of Life Wellness Center is a Voluntary or Charitable Agency based in Puyallup, WA. Fountain Of Life Wellness Center practices in Tacoma, WA. The NPI Number for Fountain Of Life Wellness Center is 1558672329 and holds a License No. 602786502 (Washington).

The current practice location address for Fountain Of Life Wellness Center is 1314 72Nd St E, Tacoma, WA and can be reached out via phone at 253-380-5263.

Location: 1314 72Nd St E, Tacoma, WA, 98373-8706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558672329
Provider Name
Fountain Of Life Wellness Center
Credential
Provider Entity Type
Organization
Address
1314 72Nd St E, Tacoma, WA, 98373-8706
Phone Number
253-380-5263
Fax Number
Provider Enumeration Date
06/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1314 72Nd St E
City
Tacoma
State
Washington
Zip
98404-3343
Phone Number
253-380-5263
Fax Number
person
Provider Business Mailing Address Details
Address
1314 72Nd St E
City
Tacoma
State
Washington
Zip
98404-3343
Phone Number
253-380-5263
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
602786502 (Washington)
Definition
Definition to come...
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