Individual
MRS. BOUALOY MANIVANH ABANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
689 STRANDER BLVD BLDG C, TUKWILA, WA 98188-2922
(206) 992-6798
Mailing address
1017 S CLOVERDALE ST, SEATTLE, WA 98108-4744
(206) 992-6798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024146
WA
Other
Enumeration date
06/07/2007
Last updated
04/18/2008
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