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NPI Code Detail

MEDICARE: REAL YOU ELECTROLYSIS LLC

MEDICARE: REAL YOU ELECTROLYSIS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1417690959
Entity Type Code : Organization
Provider Name (Legal Business Name) : REAL YOU ELECTROLYSIS LLC
Provider Business Mailing Address
First Line : 907 HARNEY ST STE 100
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3038
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 907 HARNEY ST STE 100
Second Line :
City : VANCOUVER
State : WA
Zip : 98660-3038
Country : US
Telephone Number : 360-217-4205
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : ANNA FREYA LANTRY
Credential :
Telephone Number : 360-217-4205
Provider Enumeration Date : 04/13/2022
Last Update Date : 01/28/2026

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Directions to “REAL YOU ELECTROLYSIS LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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