Organization
BODYWISE LLC
Active
Other names
Azula
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHACE (OWNER)
(206) 352-7205
Entity
Organization
Contact information
Practice address
3313 W MCGRAW ST, SEATTLE, WA 98199-3209
(206) 352-7205
Mailing address
3313 W MCGRAW ST, SEATTLE, WA 98199-3209
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA00022659
WA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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