Organization
MASSA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANAAN HK WONG LMP (OWNER)
(425) 658-7489
Entity
Organization
Contact information
Practice address
10 LAKE SHORE PLZ, KIRKLAND, WA 98033-6110
(425) 658-7489
Mailing address
10 LAKE SHORE PLZ, KIRKLAND, WA 98033-6110
(425) 658-7489
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
MA60412422
WA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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