Individual
BOBBY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
6515 132ND AVE NE, KIRKLAND, WA 98033-8628
(425) 822-4326
Mailing address
22906 39TH AVE W, BRIER, WA 98036-8281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60173939
WA
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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