Individual
MR. FAY JOSEPH BURSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
15811 AMBAUM BLVD SW, SUITE 110, BURIEN, WA 98166-3066
(206) 242-8211
(206) 242-0162
Mailing address
15811 AMBAUM BLVD SW, SUITE 110, BURIEN, WA 98166-3066
(206) 242-8211
(206) 242-0162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60111614
WA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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