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Organization
TONUS
Active
Organization
TONUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM GEDEVANISHVILI LMP (OWNER)
(206) 755-1758
Entity
Organization
Contact information
Practice address
22520 SE 218TH ST, MAPLE VALLEY, WA 98038-8001
(206) 755-1758
(253) 883-2686
Mailing address
18622 SE 265TH ST, COVINGTON, WA 98042-8421
(206) 755-1758
(253) 883-2686
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60058598
WA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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