Individual
MS. EKATERINA BESPYATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
27626 NE 142ND PL, DUVALL, WA 98019-8395
(425) 208-9476
Mailing address
27626 NE 142ND PL, DUVALL, WA 98019-8395
(425) 208-9476
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60305891
WA
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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