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Gem Magic Healing, Inc — NPI 1346598034, Kent, WA | NPI Central

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NPI 1346598034

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Gem Magic Healing, Inc

NPI 1346598034 · Non-Pharmacy Dispensing Site · Kent, WA

Provider details

NPI number: 1346598034
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Gem Magic Healing, Inc
Organization subpart: Yes
Authorized official: Jennifer Mccollum, Medical Director(206) 838-3879

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000X
Suppliers

Practice location

19625 62nd Ave S

C-104

Kent, WA 98032-1103

Phone: (206) 838-3878

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

2980 N Beverly Glen Cir

Los Angeles, CA 90077-1726

Other names (DBA / former)

Doing business as: Three Moon Clinic

Registry dates

Enumerated: 2012-08-28
Last updated: 2015-10-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.