Individual
THERESA AMANA TUIASOSOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NT61363998
Contact information
Practice address
720 S 320TH ST STE E, FEDERAL WAY, WA 98003-5254
(253) 237-4704
Mailing address
PO BOX 293, AUBURN, WA 98071-0293
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT61363998
WA
225700000X
Massage Therapist
MA60792094
WA
Other
Enumeration date
11/13/2017
Last updated
09/22/2023
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