Organization
BOUALOYS MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOUALOY MANIVANH ABANDO (LMP)
(206) 992-6798
Entity
Organization
Contact information
Practice address
689 STRANDER BLVD, BUILDING C, TUKWILA, WA 98188
(206) 992-6798
Mailing address
689 STRANDER BLVD, BUILDING C, TUKWILA, WA 98188-2922
(206) 992-6798
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00024146
WA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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