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Individual

SUSAN LIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3346 S 283RD LN, AUBURN, WA 98001-1130
(206) 372-2924
Mailing address
596 INDUSTRY DR BLDG 8, SUITE 270, TUKWILA, WA 98188-3404

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018510
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA00018510
MASSAGE THERAPY
WA
Enumeration date
01/30/2012
Last updated
01/30/2012
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