Cke Longevity Llc

NPI 1104263599 - Massage Therapist - 225700000X

NPI Details
NPI 1104263599
Enumeration Date 05/27/2013
Last Updated 05/27/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name REGINA MARIE REGINA
Position OWNER
Phone (360) 574-3141
Fax
Practice Location
1319 NE 134TH ST
SUITE 103
VANCOUVER WA, 98685-2717, US
Phone (360) 574-3141
Fax
Business Location
14607 NW 23RD AVE
VANCOUVER WA, 98685-1018, US
Phone (360) 574-3141
Fax
Toxanomy
Taxonomy Code 225700000X
License State
License Number
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According to our database, Cke Longevity Llc NPI is 1104263599, taxonomy code is 225700000X Cke Longevity Llc physically located at 1319 Ne 134th St, Vancouver WA, 98685-2717. NPI Number 1033115704 has the healthcare provider type.

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1104263599 NPI number is provided on an as is basis without warranty of any kind. 1104263599 is maintained by the National Plan & Provider Enumeration System. The contents of Cke Longevity Llc are for informational purposes only.