Organization
LIFE EXTENSION INSTITUTE, INC.
Active
Other names
EHE Int'l
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROXANA GUZMAN (DIRECTOR OF ACCOUNTING)
(212) 332-3725
Entity
Organization
Contact information
Practice address
8300 GREENSBORO DR STE 1050, MC LEAN, VA 22102-3611
(703) 394-3400
Mailing address
10 ROCKEFELLER PLZ FL 4, NEW YORK, NY 10020-1903
(212) 332-3700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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