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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