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Individual

AMMAR MUHAMMAD HUSSAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2809 MERIDIAN AVE E, EDGEWOOD, WA 98371-2108
(253) 840-1100
(253) 840-1199
Mailing address
17631 79TH AVENUE CT E, PUYALLUP, WA 98375-2516
(253) 286-8815

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61251940
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA61251940
MASSAGE LICENSE
WA
Enumeration date
02/20/2023
Last updated
02/20/2023
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