NPI 1497319792
Renegades for Life INC
Practice location
- Address
- 1265 S Main St STE 305a, Seattle, WA 98144-2010
- Phone
- (206) 841-3700
- Mailing address
- 10245 Des Moines Memorial Dr S APT 401, Seattle, WA 98168-1660
Authorised official
- Name
- Saleem Robinson
- Title
- President
- Phone
- (206) 841-3700
Registered specialties
Optometric Assistant Technician
Primary
Registry record
- NPI
- 1497319792
- Entity type
- Organization
- NPI issued
- 23 Apr 2019
- Record last updated
- 11 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.