Organization
LIFTED HYPNOSIS LLC
Active
Other names
Lifted Hypnosis & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ALFARO (OWNER)
(253) 478-6866
Entity
Organization
Contact information
Practice address
21806 103RD AVENUE CT E STE 101, GRAHAM, WA 98338-8115
(253) 478-6866
Mailing address
21806 103RD AVENUE CT E STE 101, GRAHAM, WA 98338-8115
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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