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General NPI Number Information
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NPI Number | 1649562695
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Entity Type | Organization
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Legal Business Name | MEDICINAL ALTERNATIVE SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 3716 PACIFIC AVE SUITE H
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City | TACOMA
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State | WA
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Zip | 98418-7836
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Country | US
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Telephone | 253-507-7548
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Fax | 888-978-7773
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Provider Business Mailing Address
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Address Line | 2602 S 38TH ST PMB 359
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City | TACOMA
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State | WA
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Zip | 98409-7303
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Country | US
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Telephone | 253-507-7548
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Fax | 253-507-7614
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Authorized Official
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Title or Position | CEO
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Name | MS. NOOR FALESTEEN SAID
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Credential |
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Telephone | 253-507-7548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | AP60169377
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00018311
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License Number State | WA
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