Organization
RENEGADES FOR LIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALEEM ROBINSON (PRESIDENT)
(206) 841-3700
Entity
Organization
Contact information
Practice address
1265 S MAIN ST STE 305A, SEATTLE, WA 98144-2010
(206) 841-3700
Mailing address
10245 DES MOINES MEMORIAL DR S APT 401, SEATTLE, WA 98168-1660
(206) 841-3700
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
06/11/2019
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