# RENEW WELLNESS AESTHETICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295418705
- **Authorized official:** DR. ERIK MATTHEW WELLS DC (PARTNER)
- **Authorized official phone:** (253) 232-9787

## Contact information

- **Practice address:** 6141 93RD ST SW, LAKEWOOD, WA 98499-2401
- **Practice address phone:** (253) 584-3838
- **Mailing address:** 6141 93RD ST SW, LAKEWOOD, WA 98499-2401
- **Mailing address phone:** (253) 584-3838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 08/10/2023