Organization
LONGEVITY HEALTH CENTER COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI MCMAHON MSAOM EAMP (PROVIDER/OWNER)
(509) 838-1770
Entity
Organization
Contact information
Practice address
1801 W BROADWAY AVE STE 1, SPOKANE, WA 99201-1819
(509) 838-1770
(509) 838-2020
Mailing address
1801 W BROADWAY AVE STE 1, SPOKANE, WA 99201-1819
(509) 838-1770
(509) 838-2020
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC2151
WA
Other
Enumeration date
01/11/2010
Last updated
01/21/2022
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