Individual
ALEKSEY BOGDANOV
Active
Individual
ALEKSEY BOGDANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60609990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60609990
STATE MASSAGE LICENSE
WA
Enumeration date
11/14/2016
Last updated
11/14/2016
Update your record
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