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Organization
LUATA LF BRAY LMPC LLC
Active
Organization
LUATA LF BRAY LMPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUATA LINDA FAYE BRAY L.M.P. (OWNER)
(206) 523-9733
Entity
Organization
Contact information
Practice address
6011 ROOSEVELT WAY NE, SEATTLE, WA 98115-6610
(206) 523-9733
(425) 743-0233
Mailing address
13327 BEVERLY PARK RD, LYNNWOOD, WA 98087-1616
(206) 523-9733
(425) 743-0233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00005841
WA
Other
Enumeration date
01/02/2007
Last updated
04/05/2011
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