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Individual

KEHAU TESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9020 A STREET, TACOMA, WA 98444
(253) 261-5974
Mailing address
9020 A ST, TACOMA, WA 98444-6208
(253) 261-5974

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60493568
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA 60493568
MASSAGE PRACTITIONER
WA
Enumeration date
10/14/2014
Last updated
10/14/2014
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