Organization
AGELESS ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA PORTNAYA LAC (OWNER)
(206) 903-1888
Entity
Organization
Contact information
Practice address
1515 1ST AVE, SEATTLE, WA 98101-1523
(206) 903-1888
(206) 903-1893
Mailing address
1515 1ST AVE, SEATTLE, WA 98101-1523
(206) 903-1888
(206) 903-1893
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60114166
WA
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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