Individual
LEA TENNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14810 LAKE HILLS BLVD STE A2, BELLEVUE, WA 98007-5820
(425) 503-3069
Mailing address
PO BOX 665, SNOQUALMIE, WA 98065-0665
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC61229669
WA
225700000X
Massage Therapist
MA60897624
WA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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