Individual
CARL JOHN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3820 S 320TH ST, AUBURN, WA 98001-3115
(253) 839-2650
Mailing address
5515 S 299TH CT, AUBURN, WA 98001-2325
(253) 249-3029
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60240935
WA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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