Individual
ANDREW BEADLE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
13533 28TH AVE NE, SEATTLE, WA 98125-3501
(206) 979-5029
Mailing address
13533 28TH AVE NE, SEATTLE, WA 98125-3501
(206) 979-5029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA13078
WA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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