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Organization

ELLE A CLINICAL DAY SPA, INC

Active
Other names
Elle A Clinical Day Spa
Organization subpart
No

Provider details

NPI number
Authorized official
LEIGH ANNE SHAW (OWNER/PRESIDENT)
(253) 630-6768
Entity
Organization

Contact information

Practice address
15220 SE 272ND ST STE G, KENT, WA 98042-4241
(253) 630-6768
(253) 630-6639
Mailing address
15220 SE 272ND ST STE G, KENT, WA 98042-4241
(253) 630-6768
(253) 630-6639

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602843603
WA

Other

Enumeration date
07/30/2008
Last updated
07/30/2008
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