Individual
AMANDA F. MEZISTRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5401 LEARY AVE NW, SEATTLE, WA 98107-4070
(206) 623-0373
(206) 838-3678
Mailing address
5401 LEARY AVE NW, SEATTLE, WA 98107-4070
(206) 623-0373
(206) 838-3678
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018797
WA
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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