Individual
MR. GABRIEL JAY NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
4812 SOUTH 215TH STREET, KENT, WA 98032
(206) 226-7542
Mailing address
4812 SOUTH 215TH STREET, KENT, WA 98032
(206) 226-7542
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60261695
WA
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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