Individual
DR. NATHANIEL SIROMA MENESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
22415 68TH AVE S, KENT, WA 98032-2444
(253) 395-1131
(253) 395-1171
Mailing address
15411 4TH AVE SW APT 8, BURIEN, WA 98166-2573
(904) 910-5823
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2017026965
MO
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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