Organization
BODY BALANCE HEALTH AND AESTHETICS MEDICINE
Active
Organization
BODY BALANCE HEALTH AND AESTHETICS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZAMAT BERDIYEV (OPERATIONS MANAGER)
(360) 747-2000
Entity
Organization
Contact information
Practice address
1905 SE 192ND AVE STE 201, CAMAS, WA 98607-7415
(360) 747-2000
Mailing address
1905 SE 192ND AVE STE 201, CAMAS, WA 98607-7415
(360) 747-2000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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