Individual
ANTONIO CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 BELLEVUE WAY SE STE 202, BELLEVUE, WA 98004-6649
(425) 378-1800
Mailing address
410 BELLEVUE WAY SE STE 202, BELLEVUE, WA 98004-6649
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60443157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60443157
MASSAGE THERAPIST LICENSE
WA
Enumeration date
03/01/2019
Last updated
03/01/2019
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