Healthcare Provider Details

I. General information

NPI: 1467210344
Provider Name (Legal Business Name): FRUITS OF OUR LABOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15413 1ST AVENUE CT S STE 1F
TACOMA WA
98444-4644
US

IV. Provider business mailing address

14020 108TH AVENUE CT E
PUYALLUP WA
98374-4909
US

V. Phone/Fax

Practice location:
  • Phone: 253-487-4673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHERYLANNE ZEUMAULT
Title or Position: CFO
Credential:
Phone: 206-356-8886