Individual
MR. ANTWAN EAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
728 S 320TH ST STE G, FEDERAL WAY, WA 98003-5255
(205) 212-6352
Mailing address
PO BOX 5832, KENT, WA 98064-5832
(253) 278-4275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60854335
WA
225700000X
Massage Therapist
—
WA
Other
Enumeration date
05/15/2018
Last updated
10/25/2023
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