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Organization

RYSE OSHARE LLC

Active
Other names
UP Wellness Spa
Organization subpart
No

Provider details

NPI number
Authorized official
DELISHA JOHNSON PA-C (CEO, OWNER)
(206) 858-2268
Entity
Organization

Contact information

Practice address
7307 40TH ST W, UNIVERSITY PLACE, WA 98466-4385
(206) 858-2268
Mailing address
7307 40TH ST W, UNIVERSITY PLACE, WA 98466-4385
(206) 858-2268

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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