Organization
REVIVE HEALTH CONCIERGE
Active
Organization
REVIVE HEALTH CONCIERGE
Active
Other names
Botox in the Park
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE CASIAS ARNP (OWNER/PROVIDER)
(206) 717-5622
Entity
Organization
Contact information
Practice address
2800 E MADISON ST STE 201, SEATTLE, WA 98112-4865
(206) 717-5622
(949) 561-4815
Mailing address
2800 E MADISON ST STE 201, SEATTLE, WA 98112-4865
(206) 717-5622
(855) 631-4133
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
07/26/2023
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