Individual
DR. ANDREI MOUSASTICOSHVILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND. MSC. LAC
Contact information
Practice address
13112 NE 70TH PL, KIRKLAND, WA 98033-8571
(425) 828-7288
Mailing address
4320 196TH ST SW STE B, PMB 421, LYNNWOOD, WA 98036-6754
(425) 876-1094
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00003026
WA
175F00000X
Naturopath
Primary
1165
WA
Other
Enumeration date
12/20/2006
Last updated
08/07/2007
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