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Organization
REJUVENATION OF BALLARD
Active
Organization
REJUVENATION OF BALLARD
Active
Other names
rejuvenation
Organization subpart
No
Provider details
NPI number
Authorized official
DARIAN A WEAVER LMP (OWNER)
(206) 778-0063
Entity
Organization
Contact information
Practice address
4775 BALLARD AVE NW, SEATTLE, WA 98107-4810
(206) 778-0063
(206) 297-0838
Mailing address
4775 BALLARD AVE NW, SEATTLE, WA 98107-4810
(206) 778-0063
(206) 297-0838
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00014583
WA
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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