Renegades For Life INC
Technician/Technologist, Optometric Assistant in Seattle, WA. Organization (NPI-2).
NPI number1497319792
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1497319792
- Entity type
- Organization (NPI-2)
- Legal business name
- Renegades For Life INC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1201X | Technician/Technologist, Optometric Assistant | – | – | Yes |
Practice location
1265 S Main St Ste 305aSeattle, WA 98144-2010
Phone 206-841-3700
Mailing address
10245 Des Moines Memorial Dr S Apt 401Seattle, WA 98168-1660
Phone 206-841-3700
Authorized official
Saleem Robinson
President
2068413700
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