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Organization
LAKE WASHINGTON MASSAGE AND WELLNESS LLC
Active
Organization
LAKE WASHINGTON MASSAGE AND WELLNESS LLC
Active
Other names
Lake Washington Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JON GOODMAN (MANAGING MEMBER)
(520) 275-9005
Entity
Organization
Contact information
Practice address
15965 NE 85TH ST STE 102, REDMOND, WA 98052-3593
(425) 882-9065
Mailing address
15965 NE 85TH ST STE 102, REDMOND, WA 98052-3593
(425) 882-9065
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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