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RENEW WELLNESS AESTHETICS, PLLC

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Company Details

Legal Name: RENEW WELLNESS AESTHETICS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 13th 2023
Expiration date: 28 Feb 2026
UBI Number: 605 026 094
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6141 93RD ST SW, LAKEWOOD, WA, 98499-2401, UNITED STATES

Contact Details

E-Mail: ERIK.M.WELLS@GMAIL.COM
Phone Number: +1 253-232-9787

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ERIK WELLS Registered Agent 2 CREEKWOOD LN SW, LAKEWOOD, WA, 98499-1239, UNITED STATES

Key Officers & Management

Name Role Address
ERIK WELLS Executor 2 CREEKWOOD LN SW, LAKEWOOD, WA, 98499-1239, UNITED STATES
MATHEA SCOTT Executor 11611 WOODBINE LN SW, LAKEWOOD, WA, 98499-1256, UNITED STATES
ERIK WELLS Governing Person -
MATHEA SCOTT Governing Person -

National Provider Identifier

NPI Number:
1295418705
Certification Date:
2023-08-10

Authorized Person:

Name:
DR. ERIK MATTHEW WELLS
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

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