Individual
TING-TING LI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 HARBOUR POINTE BLVD APT H203, MUKILTEO, WA 98275-5177
(206) 883-6728
Mailing address
5500 HARBOUR POINTE BLVD APT H203, MUKILTEO, WA 98275-5177
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA60037470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60037470
MASSAGE PRACTITIONER
WA
Enumeration date
07/22/2010
Last updated
07/31/2010
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