Organization · NPI-2

Ageless Acupuncture LLC

Acupuncturist · Seattle, WA

NPI number1659883247
StatusActive
Last updated in NPPESNov 3, 2017

Details

NPI
1659883247
Entity type
Organization (NPI-2)
Legal business name
Ageless Acupuncture LLC
Organization subpart
No
Enumeration date
Nov 3, 2017
Last updated
Nov 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistAc60114166WAYes

Practice location

1515 1st Ave
Seattle, WA 98101-1523

Phone 206-903-1888 · Fax 206-903-1893

Mailing address

1515 1st Ave
Seattle, WA 98101-1523

Phone 206-903-1888 · Fax 206-903-1893

Authorized official

Maria Portnaya
Owner
2069031888

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