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Organization
TOTAL LONGEVITY CENTER
Active
Organization
TOTAL LONGEVITY CENTER
Active
Parent organization
PREVENTIVE HEALTH MANAGEMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENTIVE HEALTH MANAGEMENT
Authorized official
DEANNA ADLER (OWNER)
(425) 264-5678
Entity
Organization
Contact information
Practice address
4509 TALBOT RD S STE 105, RENTON, WA 98055-6294
(425) 264-5678
Mailing address
4509 TALBOT RD S STE 105, RENTON, WA 98055-6294
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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