NPI | 1174061543 |
---|---|
Doing Business As | ANTARES WELLNESS |
Entity Type | Organization |
Authorized Contact | AMBER LASHANNA WILLIAMS Owner, Practioner 206-715-5265 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA MA60655160) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |