Individual
ALEXIS BARANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
424 3RD AVE S, APT 210, EDMONDS, WA 98020-8418
(206) 369-3588
Mailing address
424 3RD AVE S, APT 210, EDMONDS, WA 98020-8418
(206) 369-3588
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60338252
WA
Other
Enumeration date
05/16/2013
Last updated
05/23/2013
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