Individual
MR. GARY JAMES WARTELLA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
21201 NE 58TH ST UNIT 1, VANCOUVER, WA 98682-9660
(254) 661-9089
Mailing address
21201 NE 58TH ST UNIT 1, VANCOUVER, WA 98682-9660
(254) 661-9089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
24737
OR
225700000X
Massage Therapist
Primary
60909358
WA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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