# AJUVA MEDICAL AESTHETICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ajuva Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790025203
- **Authorized official:** DR. DEBRA J RAVASIA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (509) 465-8885

## Contact information

- **Practice address:** 9425 N NEVADA ST, SUITE 300, SPOKANE, WA 99218-5014
- **Practice address phone:** (509) 468-7546
- **Practice address fax:** (509) 465-8886
- **Mailing address:** 9425 N NEVADA ST, SUITE 300, SPOKANE, WA 99218-5014
- **Mailing address phone:** (509) 468-7546
- **Mailing address fax:** (509) 465-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | M0045314 | WA | Yes |

## Other

- **Enumeration date:** 02/20/2013
- **Last updated:** 02/20/2013