Individual
DAVID FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
18920 BOTHELL WAY NE, SUITE 204, BOTHELL, WA 98011-1981
(425) 424-3730
(425) 424-2371
Mailing address
18920 BOTHELL WAY NE, SUITE 204, BOTHELL, WA 98011-1981
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60280463
WA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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